ALL SPORTS FOUNDATION, INC


Address: 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563
Phone: 4809643013

ALL SPORTS FOUNDATION, INC (NPI# 1699912360) 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) 1699912360
Entity Type Organization
Organization Name ALL SPORTS FOUNDATION, INC
Other Organization Name PROSTATE ON-SITE PROJECTS, LLC
Practice Address 322 E Brown Rd Ste 103
Mesa
AZ 85201-3563
Practice Telephone 4809643013
Practice Fax Number 4806941644
Mailing Telephone 4809643013
Mailing Fax Number 4806941644
Enumeration Date 2009-01-16
Last Update Date 2009-01-16
Authorized Official Name MR. EUGENE M. FELKER (CEO/FOUNDER)
Authorized Official Telephone 4809643013
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ UNITED HEALTHCARE 261QH0100X 01
MAYO HEALTH PLAN OF ARIZONA 261QH0100X 01
AZ PACIFICARE 261QH0100X 01
AZ MEDICARE 261QH0100X 01
AZ HEALTHNET 261QH0100X 01
AZ BLUE CROSS/BLUE SHIELD 261QH0100X 01
AZ AETNA US HEALTH CARE 261QH0100X 01
AZ CIGNA HEALTHCARE 261QH0100X 01

Other Provider/Organization Names

Other Name Type Code
Prostate On-Site Projects, LLC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255509717 All Sports Foundation, Inc Clinical Medical Laboratory 322 E Brown Rd, Suite 103, Mesa, AZ 85201-3563 2008-02-18

Office Location

Street Address 322 E BROWN RD STE 103
City MESA
State AZ
Zip Code 85201-3563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184866287 Francisco N Chan Urology 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 2009-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

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
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
1871782490 American Current Care of Arizona Pa Clinic/Center 1710 West Southern, Mesa, AZ 85202 2007-10-19
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Competitor

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City MESA
Zip Code 85201

Improve Information

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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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