| Its Main Clinic | |
|
651 W Coolidge Street Its Main Clinic Phoenix AZ 85013-2718 | |
| (602) 248-0550 | |
| (602) 248-0557 |
| Full Name | Its Main Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 651 W Coolidge Street, Phoenix, Arizona |
| Authorized Official Name and Position | Janelle Lever (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6029960110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Its Main Clinic 19401 N Cave Creek Road Administrative Office #18 Phoenix AZ 85024-1825 Ph: (602) 996-0105 | Its Main Clinic 651 W Coolidge Street Its Main Clinic Phoenix AZ 85013-2718 Ph: (602) 248-0550 |
| NPI Number | 1508942723 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508942723 | NPI | - | NPPES |
| 872095 | Other | AZ | AHCCCS |
| AZ10049M | Other | AZ | FDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | BH 2473 (Arizona) | 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 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
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 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |