| Prevencare Health Services, Llc | |
|
750 Bartow Dr Ste 16 Sierra Vista AZ 85635-1833 | |
| (858) 449-3798 | |
| Not Available |
| Full Name | Prevencare Health Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 750 Bartow Dr Ste 16, Sierra Vista, Arizona |
| Authorized Official Name and Position | Erick Lee (OWNER) |
| Authorized Official Contact | 8584493798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevencare Health Services, Llc 1422 S Apache Dr Chandler AZ 85286-6300 Ph: (858) 449-3798 | Prevencare Health Services, Llc 750 Bartow Dr Ste 16 Sierra Vista AZ 85635-1833 Ph: (858) 449-3798 |
| NPI Number | 1447864830 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447864830 | NPI | - | NPPES |
| 441076 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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