Organization
HEART INSTITUTE OF NORTHERN ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A PAUL KALANITHI M.D. (MEDICAL DIRECTOR)
(928) 757-4359
Entity
Organization
Contact information
Practice address
1753 AIRWAY AVE, SUITE B, KINGMAN, AZ 86409-3720
(928) 692-6200
(928) 692-9474
Mailing address
1753 AIRWAY AVE, SUITE B, KINGMAN, AZ 86409-3720
(928) 692-6200
(928) 692-9474
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OTC710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197211
—
AZ
01
—
470000205
RR MEDICARE
AZ
05
—
930348
—
AZ
01
—
P0203870
BLUE CROSS BLUE SHIELD OF
AZ
Enumeration date
04/01/2008
Last updated
04/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us