Organization · NPI-2

Adelante Healthcare, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) · Buckeye, AZ

NPI number1801954441
StatusActive
Last updated in NPPESApr 28, 2023

Details

NPI
1801954441
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 codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
207Q00000X Family Medicine–AZ
208000000X Pediatrics–AZ

Other names

  • Adelante Healthcare-Buckeye (Doing Business As)

Practice location

306 E Monroe Ave
Buckeye, AZ 85326-2706

Phone 480-964-2273 · Fax 623-386-4593

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808

Phone 623-583-3001 · Fax 623-876-9559

Authorized official

Krystal Powell
Revenue Cycle Director
6235833001

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