| Center For Transitional Care Medicine, Pllc | |
|
2501 E Southern Ave Ste 1 Tempe AZ 85282-7669 | |
| (480) 755-2210 | |
| (480) 755-2364 |
| Full Name | Center For Transitional Care Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Edna Kast (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6025136598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Transitional Care Medicine, Pllc 233 E Southern Ave #27776 Tempe AZ 85282-5189 Ph: (480) 755-2210 | Center For Transitional Care Medicine, Pllc 2501 E Southern Ave Ste 1 Tempe AZ 85282-7669 Ph: (480) 755-2210 |
| NPI Number | 1093170011 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Medicare PECOS PAC ID | 7810292778 |
|---|---|
| Medicare Enrollment ID | O20160301002725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093170011 | NPI | - | NPPES |
| 913550 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33212 (Arizona) | Primary |
| Provider Name | Claude C Fosdick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568408516 PECOS PAC ID: 6305868134 Enrollment ID: I20051221000375 |
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