| Heavens Medical PLC | |
|
4450 S Rural Rd Ste A210 Tempe AZ 85282-5587 | |
| (623) 444-2734 | |
| Not Available |
| Full Name | Heavens Medical PLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4450 S Rural Rd Ste A210, Tempe, Arizona |
| Authorized Official Name and Position | Jason Pernell Heavens (PRESIDENT) |
| Authorized Official Contact | 4803996440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavens Medical PLC 105 S Delaware Dr Ste 1 Apache Junction AZ 85120-6512 Ph: (623) 444-2734 | Heavens Medical PLC 4450 S Rural Rd Ste A210 Tempe AZ 85282-5587 Ph: (623) 444-2734 |
| NPI Number | 1023381555 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 11/13/2025 |
| Certification Date | 11/13/2025 |
| Medicare PECOS PAC ID | 5395991822 |
|---|---|
| Medicare Enrollment ID | O20250819003922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023381555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| Provider Name | Jason P Heavens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063781797 PECOS PAC ID: 3375799810 Enrollment ID: I20120815000744 |
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