| Tiny House Doc | |
|
8485 E Mcdonald Dr # 214 Scottsdale AZ 85250-6335 | |
| (602) 888-6783 | |
| Not Available |
| Full Name | Tiny House Doc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8485 E Mcdonald Dr # 214, Scottsdale, Arizona |
| Authorized Official Name and Position | Jeannine Hinds (CEO/DIRECTOR) |
| Authorized Official Contact | 3123637250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny House Doc 8485 E Mcdonald Dr # 214 Scottsdale AZ 85250-6335 Ph: (602) 888-6783 | Tiny House Doc 8485 E Mcdonald Dr # 214 Scottsdale AZ 85250-6335 Ph: (602) 888-6783 |
| NPI Number | 1265064265 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 02/07/2020 |
| Certification Date | 02/07/2020 |
| Medicare PECOS PAC ID | 5698196327 |
|---|---|
| Medicare Enrollment ID | O20200604000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265064265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Jeannine L Hinds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699091694 PECOS PAC ID: 3678711868 Enrollment ID: I20130806000847 |
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