NPI 1750988952 · live from the CMS NPI Registry
Blast Resolve, LLC
Clinic/Center, Rural Health in Scottsdale, AZ. National Provider Identifier 1750988952, active.
NPI record
| NPI | 1750988952 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rural Health 261QR1300X |
| Practice location | 6929 N Hayden Rd Ste C4-160, Scottsdale, AZ 85250 |
| Practice phone | 520-260-8030 |
| Enumerated | October 1, 2020 |
| Last updated | October 1, 2020 |
| Authorized official | Stuart Stein, Ceo And President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | — |
| Clinic/Center, Rural Health primary | 261QR1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.