| Heartland Mental Health Services, Llc | |
|
4441 W Vervain Ave Queen Creek AZ 85142-1376 | |
| (515) 664-4875 | |
| Not Available |
| Full Name | Heartland Mental Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4441 W Vervain Ave, Queen Creek, Arizona |
| Authorized Official Name and Position | Rebecca Nabosa (OWNER) |
| Authorized Official Contact | 5156644875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Mental Health Services, Llc 4441 W Vervain Ave Queen Creek AZ 85142-1376 Ph: () - | Heartland Mental Health Services, Llc 4441 W Vervain Ave Queen Creek AZ 85142-1376 Ph: (515) 664-4875 |
| NPI Number | 1831896323 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 7113384702 |
|---|---|
| Medicare Enrollment ID | O20230613003097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831896323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Nabosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558078220 PECOS PAC ID: 2466818521 Enrollment ID: I20230515002827 |
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