| Valley Care Clinic Pllc | |
|
1845 E Broadway Rd Ste 116 Tempe AZ 85282-1685 | |
| (480) 499-0102 | |
| Not Available |
| Full Name | Valley Care Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1845 E Broadway Rd Ste 116, Tempe, Arizona |
| Authorized Official Name and Position | Allan Cagampan Buenaventura (NURSE PRACTITIONER) |
| Authorized Official Contact | 4804109739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Care Clinic Pllc 1845 E Broadway Rd Ste 116 Tempe AZ 85282-1685 Ph: (480) 499-0102 | Valley Care Clinic Pllc 1845 E Broadway Rd Ste 116 Tempe AZ 85282-1685 Ph: (480) 499-0102 |
| NPI Number | 1861170078 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 09/10/2023 |
| Medicare PECOS PAC ID | 5698127868 |
|---|---|
| Medicare Enrollment ID | O20240123004857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861170078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Allan Cagampan Buenaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649831223 PECOS PAC ID: 3072844455 Enrollment ID: I20191016002018 |
| Provider Name | Wilfredo Alberto Concio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972226587 PECOS PAC ID: 2567833023 Enrollment ID: I20230119001599 |
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