Rhad Academy And Healthcare | |
9559 W Pinnacle Vista Dr Peoria AZ 85383-8715 | |
(623) 980-2844 | |
Not Available |
Full Name | Rhad Academy And Healthcare |
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Speciality | Clinic/Center |
Location | 9559 W Pinnacle Vista Dr, Peoria, Arizona |
Authorized Official Name and Position | Thomas Woodworth (CFO) |
Authorized Official Contact | 6024320424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rhad Academy And Healthcare 9559 W Pinnacle Vista Dr Peoria AZ 85383-8715 Ph: () - | Rhad Academy And Healthcare 9559 W Pinnacle Vista Dr Peoria AZ 85383-8715 Ph: (623) 980-2844 |
NPI Number | 1174384887 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 03/06/2024 |
Medicare PECOS PAC ID | 8426499500 |
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Medicare Enrollment ID | O20240508000412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174384887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Alecia Rankovic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205129384 PECOS PAC ID: 9830364371 Enrollment ID: I20111212000151 |
Provider Name | Sandra B Fedie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215441035 PECOS PAC ID: 5193084531 Enrollment ID: I20180918004206 |
Provider Name | Rachel C Gable |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881172260 PECOS PAC ID: 6002140423 Enrollment ID: I20190618003499 |
Provider Name | Viviane N. Che |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013455518 PECOS PAC ID: 5991089955 Enrollment ID: I20190716001831 |
Provider Name | Kristin V Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477155018 PECOS PAC ID: 5395147417 Enrollment ID: I20210713000849 |
Provider Name | Malgorzata J. Kostrzewa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073180014 PECOS PAC ID: 8628466331 Enrollment ID: I20211130001933 |
Provider Name | Kristen N Murray |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528346145 PECOS PAC ID: 8729306121 Enrollment ID: I20220309002735 |
Provider Name | Johanna Salumbides Ritcie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194590554 PECOS PAC ID: 2466802004 Enrollment ID: I20231222002085 |
Provider Name | Khurram Khan |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1417164062 PECOS PAC ID: 9133227275 Enrollment ID: I20240412002410 |
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