Prevencare Health Services, Llc | |
750 Bartow Dr Ste 16 Sierra Vista AZ 85635-1833 | |
(858) 449-3798 | |
Not Available |
Full Name | Prevencare Health Services, Llc |
---|---|
Speciality | Family Medicine |
Location | 750 Bartow Dr Ste 16, Sierra Vista, Arizona |
Authorized Official Name and Position | Erick Lee (OWNER) |
Authorized Official Contact | 8584493798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prevencare Health Services, Llc 1422 S Apache Dr Chandler AZ 85286-6300 Ph: (858) 449-3798 | Prevencare Health Services, Llc 750 Bartow Dr Ste 16 Sierra Vista AZ 85635-1833 Ph: (858) 449-3798 |
NPI Number | 1447864830 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447864830 | NPI | - | NPPES |
441076 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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