1891334728 NPI number — GLOBALTRANZ FAMILY HEALTH CLIN

Table of content: (NPI 1891334728)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891334728 NPI number — GLOBALTRANZ FAMILY HEALTH CLIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBALTRANZ FAMILY HEALTH CLIN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891334728
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
560 S 300 E STE 275
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84111-3586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-441-1002
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7350 N DOBSON RD # 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85256-2710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-485-5454
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2019

Additional Information

Authorized Official

Authorized Official Last Name:
LATSIS
Authorized Official First Name:
DARCE
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
801-441-1002

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com