| Pate Complete Healthcare | |
|
3101 Clearwater Dr Ste B Prescott AZ 86305-7180 | |
| (928) 277-4622 | |
| (928) 515-1219 |
| Full Name | Pate Complete Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 3101 Clearwater Dr Ste B, Prescott, Arizona |
| Authorized Official Name and Position | Shurine Ann Pate (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 9282774622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pate Complete Healthcare 3101 Clearwater Dr Ste B Prescott AZ 86305-7180 Ph: (928) 277-4622 | Pate Complete Healthcare 3101 Clearwater Dr Ste B Prescott AZ 86305-7180 Ph: (928) 277-4622 |
| NPI Number | 1174243505 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 2365818291 |
|---|---|
| Medicare Enrollment ID | O20221018003186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174243505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shurine Ann Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235861832 PECOS PAC ID: 3274909106 Enrollment ID: I20221018003261 |
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