ADELANTE HEALTHCARE INC. NPI 1407132673

NPI Information

NPI: 1407132673
Provider Name: ADELANTE HEALTHCARE, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D0663059

Address:
15317 W BELL RD
SURPRISE, AZ
ZIP 85374
Phone: (877) 809-5092
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ADELANTE HEALTHCARE, INC. is a federally qualified health center (fqhc) clinic center in Surprise, AZ. ADELANTE HEALTHCARE, INC. NPI is 1407132673. The provider is registered as an organization entity type.

The provider's business location address is:

15317 W BELL RD
SURPRISE, AZ
ZIP 85374-877
Phone: (877) 809-5092

The provider's authorized official is Krystal Powell .
The authorized official title is Revenue Cycle Director and has the following contact phone number (623) 583-3001.

The CLIA number assigned to this NPI record is 03D0663059 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Y005422	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	311161	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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