| First Choice Family Health Center, Pllc | |
|
5041 W Northern Ave Ste B Glendale AZ 85301-1539 | |
| (786) 916-0637 | |
| Not Available |
| Full Name | First Choice Family Health Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5041 W Northern Ave Ste B, Glendale, Arizona |
| Authorized Official Name and Position | Janoi Gonzalez Camejo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7869160637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Family Health Center, Pllc 10138 W Parkway Dr Tolleson AZ 85353-4408 Ph: (786) 916-0637 | First Choice Family Health Center, Pllc 5041 W Northern Ave Ste B Glendale AZ 85301-1539 Ph: (786) 916-0637 |
| NPI Number | 1477239515 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 6901260629 |
|---|---|
| Medicare Enrollment ID | O20230914000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477239515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Janoi Gonzalez Camejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902364730 PECOS PAC ID: 8820323207 Enrollment ID: I20200610001857 |
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