EAST VALLEY VACCINATION AND EXAMINATION CENTER (NPI# 1063751204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063751204 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY VACCINATION AND EXAMINATION CENTER |
| Practice Address |
110 S Mesa Dr Suite 2 Mesa AZ 85210 |
| Practice Telephone | 4808330554 |
| Mailing Telephone | 4808330554 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | MR. RICHARD T KUHN (ADMINISTRATOR) |
| Authorized Official Telephone | 4808330554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AP4435 | AZ | Ambulatory Health Care Facilities |
| Street Address |
110 S MESA DR SUITE 2 |
| City | MESA |
| State | AZ |
| Zip Code | 85210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100437 | Douglas Opie | Chiropractor | 110 S Mesa Dr, #4, Mesa, AZ 85210-1458 | 2006-03-29 |
| 1407817976 | Delbert L Opie | Chiropractor | 110 S Mesa Dr, #4, Mesa, AZ 85210-1458 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1700398682 | Advanced Metabolic Testing LLC | Clinic/Center | 1425 S Greenfield Rd Ste 101, Mesa, AZ 85206-5505 | 2017-10-31 |
| 1417349051 | Lifestyle Health and Wellness | Clinic/Center | 65 E 1st Ave, Ste 101, Mesa, AZ 85210-1456 | 2015-02-19 |
| 1225326796 | Marc Community Resources, Inc. | Clinic/Center | 737 W Guadalupe Rd, Suite 123 and Suite 124, Mesa, AZ 85210-7703 | 2011-07-18 |
| 1528366119 | Eden Adult Care Facility, Inc. | Clinic/Center | 216 S 98th Way, Mesa, AZ 85208-1874 | 2011-03-04 |
| 1588992820 | Ernesta Pearl | Clinic/Center | 2836 S 94th St, Mesa, AZ 85212-1412 | 2009-11-25 |
| 1881826766 | Grace Home Health Care, LLC | Clinic/Center | 1930 S Alma School Rd Ste B206, Mesa, AZ 85210-3041 | 2009-08-11 |
| 1699912360 | All Sports Foundation, Inc | Clinic/Center | 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 | 2009-01-16 |
| 1801044912 | Concentra Health Services, Inc. | Clinic/Center | 1959 S. Val Vista Road, Suite 106, Mesa, AZ 85204 | 2008-09-03 |
| 1982884425 | Harmony Circle Assisted Living | Clinic/Center | 1841 E Harmony Cir, Mesa, AZ 85204-6037 | 2007-11-13 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.