FREEDOM HEALTH INTERVENTIONAL CENTERS LLC


Address: 6036 N 19th Ave Ste 204, Phoenix, AZ 85015-2104
Phone: 4806261746

FREEDOM HEALTH INTERVENTIONAL CENTERS LLC (NPI# 1508364860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508364860
Entity Type Organization
Organization Name FREEDOM HEALTH INTERVENTIONAL CENTERS LLC
Practice Address 6036 N 19th Ave Ste 204
Phoenix
AZ 85015-2104
Mailing Address Dept# 880391
P.o Box 29650
Phoenix
AZ 85038-9650
Practice Telephone 4806261746
Mailing Telephone 4806261746
Mailing Fax Number 4806262690
Enumeration Date 2018-01-31
Last Update Date 2020-11-09
Authorized Official Name ANDREW DOYLE (MANAGER)
Authorized Official Telephone 4806261746
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 433456 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
17218 N 72nd Dr Ste 101, Glendale, AZ 853088580 4806160356 4806160603
4915 E Baseline Rd Ste 104, Gilbert, AZ 85234 4806160356 4806160603
5133 N Central Ave Ste 202, Phoenix, AZ 850121438 4806160004 4806160074

Office Location

Street Address 6036 N 19TH AVE STE 204
City PHOENIX
State AZ
Zip Code 85015-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215441035 Sandra Brigitte Fedie Registered Nurse 6036 N 19th Ave Ste 204, Phoenix, AZ 85015-2104 2017-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
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1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1821605775 Crossover Health Medical Group Clinic/Center 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 2020-09-24
1164031365 Healthworks Med Group of Arizona P C Clinic/Center 2727 N Central Ave, Phoenix, AZ 85004-1120 2020-07-24
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1871148254 Bescare Home LLC Clinic/Center 5320 S 34th Dr, Phoenix, AZ 85041-7415 2019-08-02
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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