NPI 1275111767

International Consultants LLC

Organisation Exclusive Provider Organization San Luis, AZ

Practice location

Address: 1776 E Los Olivos Dr, San Luis, AZ 85336-0630
Phone: (928) 388-3793
Mailing address: Pobox 990 Pmb 1372, San Luis, AZ 85349

Authorised official

Name: Erick Merino Payan
Title: Director
Phone: (928) 388-3793

Registered specialties (4)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1275111767
Entity type: Organization
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.