| Ebony House Inc | |
|
1616 E Indian School Rd Ste 250 Phoenix AZ 85016-8614 | |
| (602) 276-4288 | |
| Not Available |
| Full Name | Ebony House Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1616 E Indian School Rd Ste 250, Phoenix, Arizona |
| Authorized Official Name and Position | Che Jordan (CEO) |
| Authorized Official Contact | 6022764288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebony House Inc 6222 S 13th St Phoenix AZ 85042-4408 Ph: (602) 276-4288 | Ebony House Inc 1616 E Indian School Rd Ste 250 Phoenix AZ 85016-8614 Ph: (602) 276-4288 |
| NPI Number | 1568937407 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568937407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
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Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
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