Provider Demographics
NPI:1558558403
Name:PRICE VENTURES INC
Entity Type:Organization
Organization Name:PRICE VENTURES INC
Other - Org Name:PREFERRED REHAB MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-839-8552
Mailing Address - Street 1:1855 E GUADALUPE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3273
Mailing Address - Country:US
Mailing Address - Phone:480-839-8552
Mailing Address - Fax:480-752-7978
Practice Address - Street 1:1855 E GUADALUPE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3273
Practice Address - Country:US
Practice Address - Phone:480-839-8552
Practice Address - Fax:480-756-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty