| Wesley Community Center, Inc | |
|
5845 E Still Cir Ste 104 Mesa AZ 85206-3635 | |
| (602) 257-4323 | |
| (602) 252-5768 |
| Full Name | Wesley Community Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5845 E Still Cir Ste 104, Mesa, Arizona |
| Authorized Official Name and Position | Blaine Bandi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6023689616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Community Center, Inc 1300 S 10th St Phoenix AZ 85034-4516 Ph: () - | Wesley Community Center, Inc 5845 E Still Cir Ste 104 Mesa AZ 85206-3635 Ph: (602) 257-4323 |
| NPI Number | 1699431726 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Medicare PECOS PAC ID | 9032264239 |
|---|---|
| Medicare Enrollment ID | O20220225001907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699431726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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