| Phoenix Children's Ambulatory Specialty Center - Avondale | |
|
1665 N Avondale Blvd Avondale AZ 85392-5003 | |
| (602) 933-0005 | |
| (602) 933-2478 |
| Full Name | Phoenix Children's Ambulatory Specialty Center - Avondale |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1665 N Avondale Blvd, Avondale, Arizona |
| Authorized Official Name and Position | Raheel Farough (SVP, MANAGED CARE & PAYER STRATEGY) |
| Authorized Official Contact | 6029333548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Children's Ambulatory Specialty Center - Avondale 2108 E Thomas Rd Ste 130 Phoenix AZ 85016-0008 Ph: () - | Phoenix Children's Ambulatory Specialty Center - Avondale 1665 N Avondale Blvd Avondale AZ 85392-5003 Ph: (602) 933-0005 |
| NPI Number | 1154660959 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154660959 | NPI | - | NPPES |
| 876253 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | SH3107 (Arizona) | Primary |
West Valley Primary Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12383 W Campbell Ave, Avondale, AZ 85392 Phone: 480-985-1093 | |
Southwest Cardiovascular Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 W Mcdowell Rd Ste 320, Avondale, AZ 85392 Phone: 844-900-2567 | |
Pro Amani Treatment Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 W Van Buren St Apt 2071, Avondale, AZ 85323 Phone: 951-591-8544 | |
Avondale Fire & Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Avondale Blvd Ste 100, Avondale, AZ 85323 Phone: 623-333-6249 | |
Goodyear Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Bldg. I, Ste.9029, Avondale, AZ 85392 Phone: 623-925-5660 Fax: 623-932-3898 | |
Integrity Therapy Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10575 W Indian School Rd Ste 105, Avondale, AZ 85392 Phone: 480-384-0109 |