| Primecare | |
|
1581 S 6th Ave Yuma AZ 85364-4684 | |
| (928) 343-0488 | |
| (928) 782-0401 |
| Full Name | Primecare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1581 S 6th Ave, Yuma, Arizona |
| Authorized Official Name and Position | Mallappa Neelappa (PRESIDENT CEO) |
| Authorized Official Contact | 9283430488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Po Box 6229 Yuma AZ 85366-2510 Ph: (928) 345-6860 | Primecare 1581 S 6th Ave Yuma AZ 85364-4684 Ph: (928) 343-0488 |
| NPI Number | 1871610055 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 7113910357 |
|---|---|
| Medicare Enrollment ID | O20040405001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871610055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mallappa Neelappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861455818 PECOS PAC ID: 2769471341 Enrollment ID: I20040514001115 |
| Provider Name | Marina Roloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488499 PECOS PAC ID: 1254615966 Enrollment ID: I20170224000560 |
| Provider Name | Laura C Spindola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629536859 PECOS PAC ID: 5294069548 Enrollment ID: I20190620002243 |
| Provider Name | Rene Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902407091 PECOS PAC ID: 3779993340 Enrollment ID: I20201110002915 |
| Provider Name | Romedrude Faustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295347946 PECOS PAC ID: 0042604118 Enrollment ID: I20220307001257 |
| Provider Name | Kristine Therese Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821735424 PECOS PAC ID: 7810373826 Enrollment ID: I20220928002609 |
| Provider Name | Afton Francine Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548952922 PECOS PAC ID: 5395181614 Enrollment ID: I20240308002993 |
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