Organization
HEALTHCARE INNOVATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM BROOME (CEO/PRESIDENT)
(520) 586-7617
Entity
Organization
Contact information
Practice address
440 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-7617
(520) 586-2689
Mailing address
PO BOX 1348, BENSON, AZ 85602-1348
(520) 586-7617
(520) 586-2689
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CON 103
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0X00AW6525
HEALTHNET
AZ
05
—
860579
—
AZ
01
—
AZ0152520
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/07/2006
Last updated
03/22/2012
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