| Cmg Gilbert Health Care Center, Gilbert Center | |
|
4001 E Baseline Rd Ste 107 Gilbert AZ 85234-2726 | |
| (480) 632-4060 | |
| Not Available |
| Full Name | Cmg Gilbert Health Care Center, Gilbert Center |
|---|---|
| Speciality | Clinic/center |
| Location | 4001 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Kevin Ellis (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Contact | 6232772246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Gilbert Health Care Center, Gilbert Center 25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (602) 328-8400 | Cmg Gilbert Health Care Center, Gilbert Center 4001 E Baseline Rd Ste 107 Gilbert AZ 85234-2726 Ph: (480) 632-4060 |
| NPI Number | 1942371505 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942371505 | NPI | - | NPPES |
| 726557 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC 3167 (Arizona) | Primary |
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