CITIZENS INTEGRATED MEDICAL SERVICES LLC (NPI# 1497379069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497379069 |
Entity Type | Organization |
Organization Name | CITIZENS INTEGRATED MEDICAL SERVICES LLC |
Other Organization Name | CISMAZ |
Practice Address |
1530 E Williams Field Rd Ste 201 Gilbert AZ 85295-1825 |
Practice Telephone | 4804061132 |
Practice Fax Number | 4806132912 |
Mailing Telephone | 4804061132 |
Mailing Fax Number | 4806132912 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-31 |
Authorized Official Name | MR. NOAH SANG (ADMINISTRATOR) |
Authorized Official Telephone | 4804061132 |
Authorized Official Credential | AGACNP-C, FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 1457839896 | 05 |
Other Name | Type Code |
---|---|
CIMSAZ | Doing Business As Name - Organization |
cismaz | Doing Business As Name - Organization |
Street Address |
1530 E WILLIAMS FIELD RD STE 201 |
City | GILBERT |
State | AZ |
Zip Code | 85295-1825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619132479 | Ginni Marie Orava | Family Medicine | 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 | 2008-07-22 |
1942808761 | My Help My Way, P.C. | Clinic/Center | 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 | 2020-10-14 |
1255613535 | Joel Edward Touchet | Marriage & Family Therapist | 1530 E Williams Field Rd Ste 201, Gilbert, AZ 85295-1825 | 2011-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
Find all providers in zip 85295 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508471970 | Pulse Healthcare Solution Pllc | Clinic/Center | 1991 E Lindrick Dr, Gilbert, AZ 85298-7406 | 2020-09-12 |
1730737560 | Arizona Family Primary Care | Clinic/Center | 1333 S Banning St, Gilbert, AZ 85296-8676 | 2019-08-26 |
1710330931 | Accessimed Healthcare Services | Clinic/Center | 2204 E Everglade Ln, Gilbert, AZ 85298-9750 | 2016-07-22 |
1528379336 | Health First Family Medicine LLC | Clinic/Center | 888 S Greenfield Rd #102, Gilbert, AZ 85296-4010 | 2010-06-25 |
1013151489 | Elite Sports Therapy Inc | Clinic/Center | 1184 N Gilbert Rd Ste 100, Gilbert, AZ 85234-2476 | 2009-04-28 |
1508023813 | Complete Care Medicine Inc | Clinic/Center | 1489 S Higley Rd Suite 101, Gilbert, AZ 85296 | 2008-05-22 |
1780298018 | Lamb Home Medical Care LLC | Clinic/Center | 3336 E Chandler Heights Rd Ste 113, Gilbert, AZ 85298-4263 | 2020-09-03 |
1720612286 | Sapphire Health and Wellness LLC | Clinic/Center | 3530 S Val Vista Dr Ste A111, Gilbert, AZ 85297-7319 | 2020-02-24 |
1740758515 | Ghentmd | Clinic/Center | 1434 W Elliot Rd Ste 101, Gilbert, AZ 85233-5157 | 2018-11-09 |
1285150896 | Psa Behavioral Health Agency | Clinic/Center | 3271 E Queen Creek Rd Ste 101, Gilbert, AZ 85297-8511 | 2017-08-15 |
Find all providers in GILBERT |
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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.