| West Phoenix Community Care | |
|
4525 W Indian School Rd Phoenix AZ 85031-2820 | |
| (623) 204-5522 | |
| Not Available |
| Full Name | West Phoenix Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4525 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Matilda Boachie (NURSE PRACTITIONER) |
| Authorized Official Contact | 8609672388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Phoenix Community Care 4525 W Indian School Rd Phoenix AZ 85031-2820 Ph: (860) 967-2388 | West Phoenix Community Care 4525 W Indian School Rd Phoenix AZ 85031-2820 Ph: (623) 204-5522 |
| NPI Number | 1013600956 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013600956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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