NPI | 1275017915 |
---|---|
Other Name | ADELANTE HEALTHCARE GOODYEAR |
Entity Type | Organization |
Authorized Contact | KRYSTAL POWELL Revenue Cycle Director 623-583-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-09-19 |
Last Update Date | 2023-04-28 |