Organization
CENTURY CARE INC
Active
Organization
CENTURY CARE INC
Active
Other names
Atlas Medical Arizona, Atlas Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHAD MANGUM (OWNER)
(435) 514-5646
Entity
Organization
Contact information
Practice address
7227 E BASELINE RD STE 126, MESA, AZ 85209-5006
(480) 868-9650
(480) 834-3606
Mailing address
7227 E BASELINE RD STE 126, MESA, AZ 85209-5006
(480) 868-9650
(480) 834-3606
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
12301
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
09/15/2008
Last updated
11/21/2024
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