| Surprise Fire-medical Department | |
|
14250 W Statler Plz Ste 101 Surprise AZ 85374-7474 | |
| (623) 222-5000 | |
| Not Available |
| Full Name | Surprise Fire-medical Department |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 14250 W Statler Plz Ste 101, Surprise, Arizona |
| Authorized Official Name and Position | Tom Abbott (DIRECTOR) |
| Authorized Official Contact | 6232225000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Fire-medical Department Dept #880156 Po Box 29650 Phoenix AZ 85038-9650 Ph: (623) 222-1000 | Surprise Fire-medical Department 14250 W Statler Plz Ste 101 Surprise AZ 85374-7474 Ph: (623) 222-5000 |
| NPI Number | 1649710328 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649710328 | NPI | - | NPPES |
| 237326 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | TRN: 17-002 (Arizona) | Primary |
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