In-line Health Clinic Llc | |
6303 E Tanque Verde Rd Ste 201 Tucson AZ 85715-3859 | |
(520) 637-3797 | |
Not Available |
Full Name | In-line Health Clinic Llc |
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Speciality | Clinic/Center |
Location | 6303 E Tanque Verde Rd Ste 201, Tucson, Arizona |
Authorized Official Name and Position | Kasimu Frank Kalala (OWNER) |
Authorized Official Contact | 5206373797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
In-line Health Clinic Llc 6303 E Tanque Verde Rd Ste 201 Tucson AZ 85715-3859 Ph: (520) 637-3797 | In-line Health Clinic Llc 6303 E Tanque Verde Rd Ste 201 Tucson AZ 85715-3859 Ph: (520) 637-3797 |
NPI Number | 1679342851 |
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Provider Enumeration Date | 12/28/2023 |
Last Update Date | 12/28/2023 |
Medicare PECOS PAC ID | 9739523721 |
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Medicare Enrollment ID | O20240217000734 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679342851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kasimu Frank Kalala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912568908 PECOS PAC ID: 3577992908 Enrollment ID: I20240217000741 |
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