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ACADIA HEALTH CLINIC LLC NPI 1679645691


NPI Information

NPI: 1679645691
Provider Name: ACADIA HEALTH CLINIC, LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
13260 N 94TH DR
SUITE 205
PEORIA, AZ
ZIP 85381
Phone: (623) 583-6570
Get Directions

ACADIA HEALTH CLINIC, LLC is an adult medicine family medicine in Peoria, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ACADIA HEALTH CLINIC, LLC NPI is 1679645691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13260 N 94TH DR
SUITE 205
PEORIA, AZ
ZIP 85381-240
Phone: (623) 583-6570
Fax: (623) 583-6571

The provider's authorized official is William Haas .
The authorized official title is Administrator and has the following contact phone number (623) 583-6570.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 10/26/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor7394ARIZONANo
2111N00000XChiropractor5702ARIZONANo
3171100000XAcupuncturist0520ARIZONANo
4204C00000XNeuromusculoskeletal Medicine, Sports Medicine2420ARIZONANo
5207QA0505XFamily MedicineAdult MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z76994OTHERARIZONAMEDICARE ID-PIN
2Z76994MEDICARE PINARIZONA

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

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