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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 433456 | 05 |
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 |
Street Address |
6036 N 19TH AVE STE 204 |
City | PHOENIX |
State | AZ |
Zip Code | 85015-2104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215441035 | Sandra Brigitte Fedie | Registered Nurse | 6036 N 19th Ave Ste 204, Phoenix, AZ 85015-2104 | 2017-12-01 |
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 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
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 |
Find all providers in zip 85015 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254918 | Assyrian Family Health Alliance | Clinic/Center | 10210 N 32nd St Ste C6, Phoenix, AZ 85028-3826 | 2020-10-26 |
1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
1629676317 | Bethel Hills Integrated Healthcare | Clinic/Center | 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 | 2020-10-14 |
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 |
1093339202 | Right Path Treatment Center LLC | Clinic/Center | 8222 S 48th St Unit 180, Phoenix, AZ 85044-5364 | 2020-06-03 |
1871148254 | Bescare Home LLC | Clinic/Center | 5320 S 34th Dr, Phoenix, AZ 85041-7415 | 2019-08-02 |
1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
1043790801 | United Rcm LLC | Clinic/Center | 1202 E Alta Vista Rd, Phoenix, AZ 85042-4432 | 2018-08-20 |
Find all providers in PHOENIX |
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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.