Adelante Healthcare, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Surprise, AZ. Organization (NPI-2).
NPI number1205994761
StatusActive
Last updated in NPPESApr 28, 2023
Details
- NPI
- 1205994761
- Entity type
- Organization (NPI-2)
- Legal business name
- Adelante Healthcare, INC.
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Certification date
- Apr 28, 2023
- Last updated
- Apr 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 1223D0001X | Dentist, Dental Public Health | – | AZ | |
| 207Q00000X | Family Medicine | – | AZ | |
| 207R00000X | Internal Medicine | – | AZ | |
| 207V00000X | Obstetrics & Gynecology | – | AZ | |
| 208000000X | Pediatrics | – | AZ |
Other names
- Adelante Healthcare-Surprise Dental (Doing Business As)
- Adelante Healthcare-Surprise (Doing Business As)
Practice location
15351 W Bell RdSurprise, AZ 85374-4580
Phone 480-964-2273 · Fax 623-544-5119
Mailing address
3033 N Central Ave Ste 145Phoenix, AZ 85012-2808
Phone 623-583-3001 · Fax 623-876-9559
Other practice locations
15317 W Bell Rd Ste 108
Surprise, AZ 85374-3901
Surprise, AZ 85374-3901
Phone 480-964-2273
Authorized official
Krystal Powell
Revenue Cycle Director
6235833001
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