| Chp Care, Pc | |
|
25812 N 67th Dr Peoria AZ 85383-7135 | |
| (602) 332-3363 | |
| Not Available |
| Full Name | Chp Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25812 N 67th Dr, Peoria, Arizona |
| Authorized Official Name and Position | Marc Leib (CEO) |
| Authorized Official Contact | 6027088455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chp Care, Pc 25812 N 67th Dr Peoria AZ 85383-7135 Ph: (602) 332-3363 | Chp Care, Pc 25812 N 67th Dr Peoria AZ 85383-7135 Ph: (602) 332-3363 |
| NPI Number | 1821444894 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 4688968027 |
|---|---|
| Medicare Enrollment ID | O20160809000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821444894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| Provider Name | Maria J Bustamante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578735635 PECOS PAC ID: 7214006394 Enrollment ID: I20080515000099 |
| Provider Name | Ayin Daleth Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619433489 PECOS PAC ID: 3476886888 Enrollment ID: I20190617002309 |
| Provider Name | Cecilia E Hallare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588137855 PECOS PAC ID: 6002146628 Enrollment ID: I20190925001058 |
| Provider Name | Sarah Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861215881 PECOS PAC ID: 3173057957 Enrollment ID: I20241115002651 |
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