| Swing Care Provider Group Pc | |
|
303 S Water St Ste 200 Henderson NV 89015-7308 | |
| (262) 667-7326 | |
| (877) 349-1868 |
| Full Name | Swing Care Provider Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 S Water St Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Jeremy Frank (HEAD OF OPERATIONS) |
| Authorized Official Contact | 4156020855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swing Care Provider Group Pc 440 N Barranca Ave # 1801 Covina CA 91723-1722 Ph: (800) 924-7811 | Swing Care Provider Group Pc 303 S Water St Ste 200 Henderson NV 89015-7308 Ph: (262) 667-7326 |
| NPI Number | 1629834346 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0244601904 |
|---|---|
| Medicare Enrollment ID | O20240613003026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629834346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Zuccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760736904 PECOS PAC ID: 6507233277 Enrollment ID: I20240614000964 |
| Provider Name | Saritha G Pothuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457387995 PECOS PAC ID: 3274526355 Enrollment ID: I20240614001203 |
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