Centro De La Familia | |
6850 W Indian School Rd Phoenix AZ 85033-3300 | |
(232) 470-4646 | |
Not Available |
Full Name | Centro De La Familia |
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Speciality | Clinic/Center |
Location | 6850 W Indian School Rd, Phoenix, Arizona |
Authorized Official Name and Position | Andres Contreras (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 6022570700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centro De La Familia 1112 E. Buckeye Rd. Phoenix AZ 85034 Ph: (602) 257-0700 | Centro De La Familia 6850 W Indian School Rd Phoenix AZ 85033-3300 Ph: (232) 470-4646 |
NPI Number | 1255416103 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/14/2023 |
Certification Date | 08/14/2023 |
Medicare PECOS PAC ID | 4587618285 |
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Medicare Enrollment ID | O20050305000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255416103 | NPI | - | NPPES |
112219 | Medicaid | AZ |
Provider Name | Brandy A Hammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659443745 PECOS PAC ID: 0941254718 Enrollment ID: I20050304000607 |
Provider Name | Rebecca L Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982714416 PECOS PAC ID: 6204861727 Enrollment ID: I20051003000787 |
Provider Name | Nirva Jean-baptiste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407279771 PECOS PAC ID: 3577887553 Enrollment ID: I20150122000480 |
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