Valley Psychiatric Services, Llc | |
14365 W Greer St Surprise AZ 85379-4355 | |
(631) 278-4671 | |
Not Available |
Full Name | Valley Psychiatric Services, Llc |
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Speciality | Clinic/Center |
Location | 14365 W Greer St, Surprise, Arizona |
Authorized Official Name and Position | Darlene Marie Heimmer (SOLE OWNER AND MANAGER) |
Authorized Official Contact | 6312783782 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Psychiatric Services, Llc 13954 W Waddell Rd Ste 103-470 Surprise AZ 85379-8750 Ph: (623) 236-0084 | Valley Psychiatric Services, Llc 14365 W Greer St Surprise AZ 85379-4355 Ph: (631) 278-4671 |
NPI Number | 1396369310 |
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Provider Enumeration Date | 06/05/2020 |
Last Update Date | 07/20/2020 |
Certification Date | 07/20/2020 |
Medicare PECOS PAC ID | 4486077708 |
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Medicare Enrollment ID | O20200706000678 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396369310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Darlene Marie Heimmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427679885 PECOS PAC ID: 5395168611 Enrollment ID: I20200706000898 |
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