Organization
NOAHS ARK FAMILY CLINIC CORP
Active
Organization
NOAHS ARK FAMILY CLINIC CORP
Active
Other names
Arizona Care Continuum
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NGUYEN PRESIDENT/CEO (PRESIDENT/CEO)
(480) 332-8832
Entity
Organization
Contact information
Practice address
6707 N 19TH AVE STE 105, PHOENIX, AZ 85015-1105
(480) 247-7691
(480) 919-7040
Mailing address
7800 N 55TH AVE STE 106&107, GLENDALE, AZ 85301-1321
(623) 931-5001
(623) 931-5120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337748
—
AZ
Enumeration date
02/07/2007
Last updated
12/10/2024
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