Organization
ADELANTE HEALTHCARE, INC.
Active
Other names
Adelante Healthcare-Wickenburg
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL POWELL (REVENUE CYCLE DIRECTOR)
(623) 583-3001
Entity
Organization
Contact information
Practice address
811 NORTH TEGNER, SUITE 113, WICKENBURG, AZ 85390-2226
(480) 964-2273
(623) 583-8330
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 876-9559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AZ
207R00000X
Internal Medicine Physician
—
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
04/28/2023
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