| Adelante Healthcare, Inc. | |
|
15525 N 83rd Ave Ste 104 Peoria AZ 85382-5820 | |
| (480) 964-2273 | |
| (623) 505-3272 |
| Full Name | Adelante Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 15525 N 83rd Ave Ste 104, Peoria, 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, Inc. 3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 Ph: (877) 809-5092 | Adelante Healthcare, Inc. 15525 N 83rd Ave Ste 104 Peoria AZ 85382-5820 Ph: (480) 964-2273 |
| NPI Number | 1770991291 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 4688588643 |
|---|---|
| Medicare Enrollment ID | O20161222000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770991291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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