Aspire Medical Centers, Llc | |
2302 N Stockton Hill Rd Ste G, Kingman, AZ 86401-4100 | |
(928) 718-2225 | |
Not Available |
Full Name | Aspire Medical Centers, Llc |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 2302 N Stockton Hill Rd Ste G, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578109815 | NPI | - | NPPES |
1568521151 | Medicaid | AZ | |
1316078439 | Medicaid | AZ | |
1760456032 | Medicaid | AZ | |
1174822381 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mark C Carter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760456032 PECOS PAC ID: 1557317898 Enrollment ID: I20050329001327 |
Provider Name | Kelly D Shuffler |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568521151 PECOS PAC ID: 1052339165 Enrollment ID: I20051108000089 |
Provider Name | Stephen S Shuffler |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1174822381 PECOS PAC ID: 7315193323 Enrollment ID: I20120807000760 |
Provider Name | Mary L Beck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629327010 PECOS PAC ID: 3375789704 Enrollment ID: I20150304001788 |
Provider Name | Sara C Rubio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326513136 PECOS PAC ID: 5092142778 Enrollment ID: I20200218002130 |
Mailing Address | Practice Location Address |
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Aspire Medical Centers, Llc 2302 N Stockton Hill Rd Ste G, Kingman, AZ 86401-4100 Ph: (928) 718-2225 | Aspire Medical Centers, Llc 2302 N Stockton Hill Rd Ste G, Kingman, AZ 86401-4100 Ph: (928) 718-2225 |