YOUR NEIGHBORHOOD HEALTHCARE CENTER NPI 1649459231

NPI Information

NPI: 1649459231
Provider Name: YOUR NEIGHBORHOOD HEALTHCARE CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4220 N 20TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 889-9401
Get Directions

YOUR NEIGHBORHOOD HEALTHCARE CENTER is a multi-specialty clinic center in Phoenix, AZ. YOUR NEIGHBORHOOD HEALTHCARE CENTER NPI is 1649459231. The provider is registered as an organization entity type.

The provider's business location address is:

4220 N 20TH AVE
PHOENIX, AZ
ZIP 85015-124
Phone: (602) 889-9401
Fax: (602) 889-9404

The provider's authorized official is Hector Reyes .
The authorized official title is Director Clinic Operations and has the following contact phone number (602) 889-9401.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 5/6/2021.

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	261Q00000X	Clinic/Center				No
2	261QM1300X	Clinic/Center	Multi-Specialty			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	278248	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: 4/28/2024

NPI Synchronization or Removal

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