Organization
ADELANTE HEALTHCARE, INC.
Active
Organization
ADELANTE HEALTHCARE, INC.
Active
Other names
Adelante Healthcare Goodyear
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL POWELL (REVENUE CYCLE DIRECTOR)
(623) 583-3001
Entity
Organization
Contact information
Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395
(480) 964-2273
(623) 876-9559
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(877) 809-5092
(623) 876-9559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
04/28/2023
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