The Lodge At 14th St.

NPI: 1083698328

The Lodge At 14th St.

Q: What is The Lodge At 14th St.'s NPI number?

The Lodge At 14th St.'s NPI number is 1083698328, a unique 10-digit identifier issued by CMS.

Q: What does The Lodge At 14th St. specialize in?

The Lodge At 14th St. specializes in Specialty not listed, taxonomy code 261Q00000X.

Q: Where does The Lodge At 14th St. practice?

The Lodge At 14th St. practices in Phoenix, AZ 85014-5604.

Q: When was The Lodge At 14th St.'s NPI issued?

The Lodge At 14th St.'s NPI was issued on November 30, 2005.

Q: What is The Lodge At 14th St.'s provider type?

The Lodge At 14th St. is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: November 30, 2005

Quick Facts

NPI Number

1083698328

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261Q00000X — Specialty not listed

Phone

(602) 279-1033

StateAZ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1083698328)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (November 30, 2005)

Data source: CMS NPPES

Provider Overview

THE LODGE AT 14TH ST. is a Healthcare provider based in Phoenix, AZ who has been registered with CMS since 2005. They are affiliated with Crystal Lodge Investors. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083698328

Provider TypeOrganization

StatusActive

Enumeration DateNovember 30, 2005

Practice Location

CityPhoenix

StateAZ

ZIP Code85014-5604

Phone(602) 279-1033

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261Q00000X

License StateAZ

Mailing Address

CityPhoenix

StateAZ

ZIP Code85014-5604

Phone(602) 279-1033

Same as practice location

Hospital & Organization Affiliations

🏢

Crystal Lodge Investors

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How to Use This NPI

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For Insurance Billing

Use NPI 1083698328 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083698328for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083698328 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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