Silver House Healthcare Llc | |
13507 N 145th Dr Surprise AZ 85379-6162 | |
(202) 681-1274 | |
Not Available |
Full Name | Silver House Healthcare Llc |
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Speciality | Internal Medicine |
Location | 13507 N 145th Dr, Surprise, Arizona |
Authorized Official Name and Position | Aspen Decker (CEO) |
Authorized Official Contact | 2026811274 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Silver House Healthcare Llc 13507 N 145th Dr Surprise AZ 85379-6162 Ph: (202) 681-1274 | Silver House Healthcare Llc 13507 N 145th Dr Surprise AZ 85379-6162 Ph: (202) 681-1274 |
NPI Number | 1912611997 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 2062894181 |
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Medicare Enrollment ID | O20220804003595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912611997 | NPI | - | NPPES |
Provider Name | Regina Jo Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275186413 PECOS PAC ID: 4183954936 Enrollment ID: I20190923000804 |
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