Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
(602) 661-0666
(480) 564-3762
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-0001
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004921
—
AZ
Enumeration date
06/07/2021
Last updated
02/26/2024
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