| Avondale Fire & Medical | |
|
125 S Avondale Blvd Ste 100 Avondale AZ 85323-5214 | |
| (623) 333-6249 | |
| Not Available |
| Full Name | Avondale Fire & Medical |
|---|---|
| Speciality | Clinic/center - Emergency Care |
| Location | 125 S Avondale Blvd Ste 100, Avondale, Arizona |
| Authorized Official Name and Position | Aaron Glass (DEPUTY CHIEF) |
| Authorized Official Contact | 6233336249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avondale Fire & Medical 125 S Avondale Blvd Ste 100 Avondale AZ 85323-5214 Ph: (623) 333-6249 | Avondale Fire & Medical 125 S Avondale Blvd Ste 100 Avondale AZ 85323-5214 Ph: (623) 333-6249 |
| NPI Number | 1053926204 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053926204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Secondary |
| 261QE0002X | Clinic/center - Emergency Care | (NU) | Primary |
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