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601 W Riverside Dr Ste 2 Parker AZ 85344-5119 | |
(928) 256-4110 | |
(928) 256-4112 |
Full Name | |
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Speciality | Clinic/Center |
Location | 601 W Riverside Dr Ste 2, Parker, Arizona |
Authorized Official Name and Position | Amanda Aguirre (PRESIDENT & CEO) |
Authorized Official Contact | 9283157910 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 617 Somerton AZ 85350-0617 Ph: (928) 315-7910 | 601 W Riverside Dr Ste 2 Parker AZ 85344-5119 Ph: (928) 256-4110 |
NPI Number | 1316568595 |
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Provider Enumeration Date | 04/29/2020 |
Last Update Date | 09/07/2023 |
Medicare PECOS PAC ID | 2668361841 |
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Medicare Enrollment ID | O20200505001943 |
Identifier | Type | State | Issuer |
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1316568595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kevin S. Klopfenstein M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
La Paz County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Joshua Ave, Suite 206, Parker, AZ 85344 Phone: 928-669-1100 | |
Parker Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-7104 |