Touchstone Health Services | |
15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 | |
(866) 207-3882 | |
(602) 732-5480 |
Full Name | Touchstone Health Services |
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Speciality | Counselor |
Location | 15820 N 35th Ave Ste 14, Phoenix, Arizona |
Authorized Official Name and Position | Kim Egan (CHIEF QUALITY OFFICER) |
Authorized Official Contact | 6236927409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Touchstone Health Services 15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 Ph: (866) 207-3882 | Touchstone Health Services 15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 Ph: (866) 207-3882 |
NPI Number | 1629541479 |
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Provider Enumeration Date | 01/04/2019 |
Last Update Date | 06/06/2023 |
Certification Date | 06/06/2023 |
Medicare PECOS PAC ID | 1557395274 |
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Medicare Enrollment ID | O20050922000394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629541479 | NPI | - | NPPES |
518465 | Other | AZ | AHCCCS |
OTC9396 | Other | AZ | ADHS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Alodia Banuelos Domingo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043635162 PECOS PAC ID: 1951627975 Enrollment ID: I20150310000734 |
Provider Name | Kristin Leigh Serrato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063914398 PECOS PAC ID: 1850654278 Enrollment ID: I20180418001248 |
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