| Oakwood Creative Care Inc. | |
|
247 N Macdonald 102 Mesa AZ 85201-6622 | |
| (480) 464-1061 | |
| (480) 464-1166 |
| Full Name | Oakwood Creative Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 247 N Macdonald, Mesa, Arizona |
| Authorized Official Name and Position | Sherri Friend (PRESIDENT AND CEO) |
| Authorized Official Contact | 4804641061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwood Creative Care Inc. 6915 E Main St Mesa AZ 85207-8229 Ph: (480) 464-1061 | Oakwood Creative Care Inc. 247 N Macdonald 102 Mesa AZ 85201-6622 Ph: (480) 464-1061 |
| NPI Number | 1114388626 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 5991128860 |
|---|---|
| Medicare Enrollment ID | O20200710000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114388626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | AL0164D (Arizona) | Primary |
| Provider Name | Kimberly Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265646186 PECOS PAC ID: 5991864506 Enrollment ID: I20081111000218 |
| Provider Name | Amy B Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083993109 PECOS PAC ID: 5496912610 Enrollment ID: I20120131000296 |
| Provider Name | Veronica Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609489590 PECOS PAC ID: 2264823467 Enrollment ID: I20211223000518 |
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