| Adelante Healthcare Surprise Behavioral Health | |
|
15317 W Bell Rd Surprise AZ 85374-3877 | |
| (480) 964-2273 | |
| Not Available |
| Full Name | Adelante Healthcare Surprise Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 15317 W Bell Rd, Surprise, 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 Surprise Behavioral Health 3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 Ph: () - | Adelante Healthcare Surprise Behavioral Health 15317 W Bell Rd Surprise AZ 85374-3877 Ph: (480) 964-2273 |
| NPI Number | 1407132673 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 4688588643 |
|---|---|
| Medicare Enrollment ID | O20221004001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407132673 | NPI | - | NPPES |
| 311161 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | Y005422 (Arizona) | Primary |
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