Vineyard Community Charities
Family Medicine in Glendale, AZ. Organization (NPI-2).
NPI number1619708823
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1619708823
- Entity type
- Organization (NPI-2)
- Legal business name
- Vineyard Community Charities
- Organization subpart
- No
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Vineyard Medical Clinic (Doing Business As)
Practice location
6250 W Peoria AveGlendale, AZ 85302-1000
Phone 623-234-2999
Mailing address
6250 W Peoria AveGlendale, AZ 85302-1000
Phone 623-234-2999
Authorized official
Destiny Brummett
Clinic Administrative Assistant
6232342999
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