| Copperwood Health Center | |
|
11851 N 51st Ave Ste B110 Glendale AZ 85304-2823 | |
| (480) 882-4545 | |
| Not Available |
| Full Name | Copperwood Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 11851 N 51st Ave Ste B110, Glendale, Arizona |
| Authorized Official Name and Position | Wendy Armendariz (CEO) |
| Authorized Official Contact | 6027860003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copperwood Health Center 7500 N Dreamy Draw Dr Ste 145 Phoenix AZ 85020-4668 Ph: (480) 882-4545 | Copperwood Health Center 11851 N 51st Ave Ste B110 Glendale AZ 85304-2823 Ph: (480) 882-4545 |
| NPI Number | 1629515218 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 3577743764 |
|---|---|
| Medicare Enrollment ID | O20170410001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629515218 | NPI | - | NPPES |
| 276513 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Arizona) | Primary |
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