HEALTHWORKS MED GROUP OF ARIZONA PC


Address: 301 W Jefferson St Ste B70, Phoenix, AZ 85003-2143
Phone: 4803474791

HEALTHWORKS MED GROUP OF ARIZONA PC (NPI# 1710378682) 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) 1710378682
Entity Type Organization
Organization Name HEALTHWORKS MED GROUP OF ARIZONA PC
Other Organization Name PREMISE HEALTH CARE CENTER
Practice Address 301 W Jefferson St Ste B70
Phoenix
AZ 85003-2143
Mailing Address 5500 Maryland Way Ste 120
Brentwood
TN 37027-4993
Practice Telephone 4803474791
Practice Fax Number 4803474792
Enumeration Date 2015-02-12
Last Update Date 2020-02-13
Authorized Official Name DR. PETER J VASQUEZ (PRESIDENT)
Authorized Official Telephone 8444077557
Authorized Official Credential MD
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/Organization Names

Other Name Type Code
Premise Health Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295130094 Healthworks Med Group of Arizona PC General Practice 14321 N Northsight Blvd, Scottsdale, AZ 85260-3604 2014-10-23
1952745218 Healthworks Med Group of Arizona PC Clinic/Center 6820 S Harl Ave, Tempe, AZ 85283-4318 2013-04-17
1871140020 Healthworks Med Group of Arizona PC Clinic/Center 1910 E Innovation Park Dr, Oro Valley, AZ 85755-1962 2019-08-22
1972901015 Healthworks Med Group of Arizona PC General Practice 1 Norterra Dr, Phoenix, AZ 85085-8204 2014-12-05
1225397227 Healthworks Med Group of Arizona PC Clinic/Center 301 W Jefferson St Ste 201, Phoenix, AZ 85003-2195 2012-05-10

Office Location

Street Address 301 W JEFFERSON ST STE B70
City PHOENIX
State AZ
Zip Code 85003-2143

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NPI Name Taxonomy Address Enumeration
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1225383201 Charles S Bell Counselor 609 North 2nd Ave., Phoenix, AZ 85003 2012-07-17
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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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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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Competitor

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City PHOENIX
Zip Code 85003

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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