Nimbus Health Three Pc | |
14300 W Granite Valley Dr Ste E23 Sun City West AZ 85375-5798 | |
(623) 975-0500 | |
(623) 975-0705 |
Full Name | Nimbus Health Three Pc |
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Speciality | Clinic/Center |
Location | 14300 W Granite Valley Dr Ste E23, Sun City West, Arizona |
Authorized Official Name and Position | Clay Spence (BUSINESS MANAGER) |
Authorized Official Contact | 7132029634 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nimbus Health Three Pc 725 Ponce De Leon Ave Ne Atlanta GA 30306-4696 Ph: (610) 850-7230 | Nimbus Health Three Pc 14300 W Granite Valley Dr Ste E23 Sun City West AZ 85375-5798 Ph: (623) 975-0500 |
NPI Number | 1497523815 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 01/31/2024 |
Medicare PECOS PAC ID | 9739528472 |
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Medicare Enrollment ID | O20240415002554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497523815 | NPI | - | NPPES |
Provider Name | Shannon P Valenzuela |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1134118995 PECOS PAC ID: 9931097482 Enrollment ID: I20040308000456 |
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