Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Other names
Denova Collaborative Health, LLC, Bayless Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM JOHNSON (CEO)
(602) 230-7373
Entity
Organization
Contact information
Practice address
235 W WESTERN AVE, AVONDALE, AZ 85323-1848
(602) 230-7373
(623) 230-3086
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
OTC9070
AZ
208000000X
Pediatrics Physician
OTC9070
AZ
2084P0800X
Psychiatry Physician
OTC9070
AZ
208D00000X
General Practice Physician
OTC9070
AZ
261QM1300X
Multi-Specialty Clinic/Center
Primary
OTC9070
AZ
Other
Enumeration date
08/09/2018
Last updated
09/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us