| Dove Mountain Health Center | |
|
5224 W Dove Centre Rd Marana AZ 85658-5063 | |
| (520) 616-1445 | |
| (520) 616-1446 |
| Full Name | Dove Mountain Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5224 W Dove Centre Rd, Marana, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Mountain Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 616-1445 | Dove Mountain Health Center 5224 W Dove Centre Rd Marana AZ 85658-5063 Ph: (520) 616-1445 |
| NPI Number | 1417403007 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20161207001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417403007 | NPI | - | NPPES |
| 329592 | Other | AZ | GROUP MEDICAID |
| 210156 | Medicaid | AZ |
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