| Parker Medical Center, Ltd. | |
|
905 Fiesta Parker AZ 85344-5152 | |
| (928) 669-2225 | |
| (928) 669-6751 |
| Full Name | Parker Medical Center, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Fiesta, Parker, Arizona |
| Authorized Official Name and Position | Alicia Ann Shillito (OFFICE MANAGER) |
| Authorized Official Contact | 9286692225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Medical Center, Ltd. 905 Fiesta Parker AZ 85344-5152 Ph: (928) 669-2225 | Parker Medical Center, Ltd. 905 Fiesta Parker AZ 85344-5152 Ph: (928) 669-2225 |
| NPI Number | 1568469906 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 07/25/2016 |
| Medicare PECOS PAC ID | 9739075318 |
|---|---|
| Medicare Enrollment ID | O20040223000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568469906 | NPI | - | NPPES |
| 862690 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 32755 (Arizona) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Arizona) | Primary |
| Provider Name | Keith W Shillito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417954850 PECOS PAC ID: 0749266617 Enrollment ID: I20040630000749 |
Kevin S. Klopfenstein M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
Melinda Astran, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr, Ste. 3 & 4, Parker, AZ 85344 Phone: 928-669-6700 Fax: 928-669-6709 | |
Dba La Paz Helathcare Parker Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 3, Parker, AZ 85344 Phone: 928-669-5550 Fax: 928-669-0061 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Riverside Dr Ste 6, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 | |
La Paz County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Joshua Ave, Suite 206, Parker, AZ 85344 Phone: 928-669-1100 | |
Parker Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 2, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-256-4112 | |
Parker Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-7104 |