| Canyon Medical Clinic Llc | |
|
34501 S Old Black Canyon Hwy # 1 Black Canyon City AZ 85324 | |
| (623) 374-5070 | |
| (623) 374-5068 |
| Full Name | Canyon Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 34501 S Old Black Canyon Hwy # 1, Black Canyon City, Arizona |
| Authorized Official Name and Position | Joshua Eric Motl (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 2183719340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Medical Clinic Llc 14534 W Hidden Terrace Loop Litchfield Park AZ 85340-0989 Ph: () - | Canyon Medical Clinic Llc 34501 S Old Black Canyon Hwy # 1 Black Canyon City AZ 85324 Ph: (623) 374-5070 |
| NPI Number | 1356834642 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 3375887938 |
|---|---|
| Medicare Enrollment ID | O20181207002154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356834642 | NPI | - | NPPES |
| 1588081087 | Medicaid | AZ | |
| 912701 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wazhma Aslamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982604476 PECOS PAC ID: 7012972433 Enrollment ID: I20041124000888 |
Black Canyon Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19251 E Oasis Dr, Black Canyon City, AZ 85324 Phone: 623-374-0200 Fax: 623-374-5576 | |
Cherry Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18850 E. Schoolhouse Road, Black Canyon City, AZ 85324 Phone: 623-374-5215 Fax: 623-374-8969 |