| Ngc Integrated Healthcare | |
|
3505 S 87th Dr Tolleson AZ 85353-8659 | |
| (623) 322-3695 | |
| Not Available |
| Full Name | Ngc Integrated Healthcare |
|---|---|
| Speciality | Counselor |
| Location | 3505 S 87th Dr, Tolleson, Arizona |
| Authorized Official Name and Position | Christian Azode (CEO) |
| Authorized Official Contact | 6233223695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngc Integrated Healthcare 3505 S 87th Dr Tolleson AZ 85353-8659 Ph: (623) 322-3695 | Ngc Integrated Healthcare 3505 S 87th Dr Tolleson AZ 85353-8659 Ph: (623) 322-3695 |
| NPI Number | 1700478740 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 1658780101 |
|---|---|
| Medicare Enrollment ID | O20210512003159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700478740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ngozi Azode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285095851 PECOS PAC ID: 4082911193 Enrollment ID: I20161020001437 |
| Provider Name | Christian M Azode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492046 PECOS PAC ID: 6103252580 Enrollment ID: I20200203001686 |
| Provider Name | Lilian Oghenevwoke Orumana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457058091 PECOS PAC ID: 2961857982 Enrollment ID: I20231011003015 |
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