| A New Day Community Health Center Inc | |
|
5949 W Northern Ave Ste 105 Glendale AZ 85301-7800 | |
| (404) 454-9721 | |
| Not Available |
| Full Name | A New Day Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5949 W Northern Ave Ste 105, Glendale, Arizona |
| Authorized Official Name and Position | Fran Oshifodunrin (CEO) |
| Authorized Official Contact | 4044549721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Day Community Health Center Inc 3670 N Rancho Dr Las Vegas NV 89130-3174 Ph: (404) 454-9721 | A New Day Community Health Center Inc 5949 W Northern Ave Ste 105 Glendale AZ 85301-7800 Ph: (404) 454-9721 |
| NPI Number | 1588025902 |
|---|---|
| Provider Enumeration Date | 03/12/2016 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 5991094195 |
|---|---|
| Medicare Enrollment ID | O20220302002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588025902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Theophilus M Akoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275908444 PECOS PAC ID: 2466751102 Enrollment ID: I20200831002897 |
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