| Adelante Healthcare Goodyear | |
|
13471 W Cornerstone Blvd Goodyear AZ 85395 | |
| (480) 964-2273 | |
| (623) 876-9559 |
| Full Name | Adelante Healthcare Goodyear |
|---|---|
| Speciality | Clinic/Center |
| Location | 13471 W Cornerstone Blvd, Goodyear, Arizona |
| Authorized Official Name and Position | Krystal Powell (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 6235833001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adelante Healthcare Goodyear 3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 Ph: (877) 809-5092 | Adelante Healthcare Goodyear 13471 W Cornerstone Blvd Goodyear AZ 85395 Ph: (480) 964-2273 |
| NPI Number | 1275017915 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 4688588643 |
|---|---|
| Medicare Enrollment ID | O20190307002158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275017915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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