| Immaculate Heart Of Mary Family Health Center | |
|
2175 N Alma School Rd Ste 109 Chandler AZ 85224-2878 | |
| (480) 203-9192 | |
| Not Available |
| Full Name | Immaculate Heart Of Mary Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2175 N Alma School Rd Ste 109, Chandler, Arizona |
| Authorized Official Name and Position | Charles Armstrong (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4802039192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Heart Of Mary Family Health Center 5602 S Jolly Roger Rd Tempe AZ 85283-2121 Ph: () - | Immaculate Heart Of Mary Family Health Center 2175 N Alma School Rd Ste 109 Chandler AZ 85224-2878 Ph: (480) 203-9192 |
| NPI Number | 1508469453 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 0143636167 |
|---|---|
| Medicare Enrollment ID | O20210316002879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508469453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles E Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255743548 PECOS PAC ID: 5698092989 Enrollment ID: I20170721003098 |
| Provider Name | Margaret J Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942426689 PECOS PAC ID: 2769670918 Enrollment ID: I20220222001779 |
| Provider Name | Marissa Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790395853 PECOS PAC ID: 0446624845 Enrollment ID: I20241014001767 |
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