| New Spirit Health Llc | |
|
2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 | |
| (480) 568-2802 | |
| (866) 226-5767 |
| Full Name | New Spirit Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2266 S Dobson Rd Ste 200, Mesa, Arizona |
| Authorized Official Name and Position | John Risi (OWNER/CEO) |
| Authorized Official Contact | 6026156900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Spirit Health Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (480) 568-2802 | New Spirit Health Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (480) 568-2802 |
| NPI Number | 1184181778 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 03/01/2019 |
| Medicare PECOS PAC ID | 9739417106 |
|---|---|
| Medicare Enrollment ID | O20240417003831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184181778 | NPI | - | NPPES |
| 293171 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John Risi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623469 PECOS PAC ID: 4385918283 Enrollment ID: I20171128002949 |
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