| Citizens Integrated Medical Services Llc | |
|
1530 E Williams Field Rd Ste 201 Gilbert AZ 85295-1825 | |
| (480) 406-1132 | |
| (480) 613-2912 |
| Full Name | Citizens Integrated Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1530 E Williams Field Rd Ste 201, Gilbert, Arizona |
| Authorized Official Name and Position | Noah Sang (ADMINISTRATOR) |
| Authorized Official Contact | 4809921455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Integrated Medical Services Llc 1530 E Williams Field Rd Ste 201 Gilbert AZ 85295-1825 Ph: (480) 406-1132 | Citizens Integrated Medical Services Llc 1530 E Williams Field Rd Ste 201 Gilbert AZ 85295-1825 Ph: (480) 406-1132 |
| NPI Number | 1497379069 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 1658796834 |
|---|---|
| Medicare Enrollment ID | O20200805000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497379069 | NPI | - | NPPES |
| 1457839896 | Medicaid | AZ |
| Provider Name | Noah Kipkorir Sang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839896 PECOS PAC ID: 1153674999 Enrollment ID: I20181025000561 |
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