| |
1090 Commerce Dr Prescott AZ 86305-3700 | |
(928) 771-3538 | |
(928) 771-3369 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 1090 Commerce Dr, Prescott, Arizona |
Authorized Official Name and Position | Robert Resendes (DIRECTOR) |
Authorized Official Contact | 9284425966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1090 Commerce Dr Prescott AZ 86305-3700 Ph: (928) 771-3538 | 1090 Commerce Dr Prescott AZ 86305-3700 Ph: (928) 771-3538 |
NPI Number | 1295897379 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295897379 | NPI | - | NPPES |
171140 | Other | AZ | ATTENDANT CARE SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | OTC3512 (Arizona) | Primary |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |