| Paloverde Health Services Pllc | |
|
18 W Center St Pima AZ 85543-0030 | |
| (928) 485-5353 | |
| (928) 485-4545 |
| Full Name | Paloverde Health Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18 W Center St, Pima, Arizona |
| Authorized Official Name and Position | Angela Paull (CNP) |
| Authorized Official Contact | 9284855353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paloverde Health Services Pllc Po Box 9 Pima AZ 85543-0009 Ph: (928) 485-5353 | Paloverde Health Services Pllc 18 W Center St Pima AZ 85543-0030 Ph: (928) 485-5353 |
| NPI Number | 1326712274 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 3779971932 |
|---|---|
| Medicare Enrollment ID | O20211021000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326712274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela M Paull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790351435 PECOS PAC ID: 1850780321 Enrollment ID: I20220103000223 |
Sky Mountain Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 N Main St, Pima, AZ 85543 Phone: 928-432-2853 |