| Valle Del Sol, Inc. | |
|
8410 W Thomas Rd Ste 116 Phoenix AZ 85037-3356 | |
| (602) 258-6797 | |
| (602) 340-9401 |
| Full Name | Valle Del Sol, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8410 W Thomas Rd Ste 116, Phoenix, Arizona |
| Authorized Official Name and Position | Rebecca Razo (CONTRACTS DIRECTOR) |
| Authorized Official Contact | 6022586797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valle Del Sol, Inc. 3877 N 7th St Ste 400 Phoenix AZ 85014-5061 Ph: (602) 258-6797 | Valle Del Sol, Inc. 8410 W Thomas Rd Ste 116 Phoenix AZ 85037-3356 Ph: (602) 258-6797 |
| NPI Number | 1659927556 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 8628019148 |
|---|---|
| Medicare Enrollment ID | O20191205000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659927556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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