Provider Demographics
NPI:1215213954
Name:KARB SERVICES, INC
Entity Type:Organization
Organization Name:KARB SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:CA
Authorized Official - Phone:928-337-3125
Mailing Address - Street 1:PO BOX 2578
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:AZ
Mailing Address - Zip Code:85936-2578
Mailing Address - Country:US
Mailing Address - Phone:928-337-3125
Mailing Address - Fax:928-337-3291
Practice Address - Street 1:1200 W CLEVELAND AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:ST JOHNS
Practice Address - State:AZ
Practice Address - Zip Code:85936-2578
Practice Address - Country:US
Practice Address - Phone:928-337-3125
Practice Address - Fax:928-337-3291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7695261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ148594OtherPTAN
AZV05085Medicare UPIN