FSP HEALTH MINISTRIES (NPI# 1154546810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154546810 |
| Entity Type | Organization |
| Organization Name | FSP HEALTH MINISTRIES |
| Other Organization Name | CAMILLUS HEALTH CENTER |
| Practice Address |
780 N Cesar Chavez St San Luis AZ 85349 |
| Mailing Address |
Po Box 7053 San Luis AZ 85349-6805 |
| Practice Telephone | 9286272055 |
| Practice Fax Number | 9286272456 |
| Mailing Telephone | 9286272055 |
| Mailing Fax Number | 9286272456 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | RUDY VALENZUELA (OWNER) |
| Authorized Official Telephone | 9286272055 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | FSP HEALTH MINISTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP1549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CAMILLUS HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904334 | Fsp Health Ministries | Nurse Practitioner | 1914 E. Juan Sanchez Blvd, Suite 2, San Luis, AZ 85349 | 2009-07-02 |
| Street Address |
780 N CESAR CHAVEZ ST |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391351 | Bryson Lee Wandling | Physician Assistant | 815 E. Cesar Chavez Blvd., San Luis, AZ 85349 | 2020-03-12 |
| 1306482377 | Cecilia Denise Zepeda | Registered Nurse | 1250 N. 8th Avenue, San Luis, AZ 85349 | 2019-11-25 |
| 1184142317 | Rosenda Uribe | Specialist/Technologist | 337 Adobe St, San Luis, AZ 85349 | 2017-09-08 |
| 1033644372 | Lourens Rasmus Botha | Pharmacist | 1613 N Main Street, San Luis, AZ 85349 | 2017-04-24 |
| 1205389988 | Miriam Gonzalez | Dentist | 801 North 2nd Ave, San Luis, AZ 85349 | 2016-07-28 |
| 1386016269 | Isabel M Arias | Dental Hygienist | 1896 E. Babbitt Ln., San Luis, AZ 85349 | 2015-10-30 |
| 1801262308 | Rosario Alejandra Morales Villegas | Specialist/Technologist | 1657 E. B Street, San Luis, AZ 85349 | 2015-08-19 |
| 1598142291 | Manuel Angel Salcido | Specialist/Technologist, Other | 1959 E Georgina St, San Luis, AZ 85349 | 2015-05-01 |
| 1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
| 1134542921 | Gerardo Garcia | Pharmacist | 1613 N Main St, San Luis, AZ 85349 | 2014-01-29 |
| Find all providers in zip 85349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287753 | San Jose Integrated Clinic LLC | Nurse Practitioner | 2000 E Juan Sanchez Blvd, San Luis, AZ 85336-0481 | 2019-10-17 |
| 1992160329 | Patricia Rodriguez, Fnp-c & Associates | Nurse Practitioner | 1950 Juan Sanchez Blvd, Suite F, San Luis, AZ 85349-6805 | 2015-12-30 |
| 1699904334 | Fsp Health Ministries | Nurse Practitioner | 1914 E. Juan Sanchez Blvd, Suite 2, San Luis, AZ 85349 | 2009-07-02 |
| 1851413231 | Steven Lee Covington | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2007-04-04 |
| 1740367374 | Rodolfo Valenzuela Iv | Nurse Practitioner | 1914 E. Juan Sanchez Blvd., 2, San Luis, AZ 85349-6805 | 2006-11-01 |
| 1578536892 | Gregory Allen Larson | Nurse Practitioner | 1233 N Main St, Ste 1a, San Luis, AZ 85349 | 2006-02-08 |
| 1790775567 | Emelin Martinez | Nurse Practitioner | North Highway 159, San Luis, CO 81152 | 2005-10-24 |
| 1063958676 | Adlene Joseph | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349 | 2017-01-06 |
| 1356894240 | Clarisse Ngueha-nana | Nurse Practitioner | 1896 E Babbitt Ln, San Luis, AZ 85349-7613 | 2016-07-27 |
| 1770917429 | Gina Botello | Nurse Practitioner | 1896 E Babbit Ln, San Luis, AZ 85349 | 2013-08-29 |
| Find all providers in SAN LUIS | ||||
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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.