Organization
ADELANTE HEALTHCARE, INC.
Active
Organization
ADELANTE HEALTHCARE, INC.
Active
Other names
Adelante Healthcare Inc Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL POWELL (REVENUE CYCLE DIRECTOR)
(623) 583-3001
Entity
Organization
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201
(480) 964-2273
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
Y005500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311161
—
AZ
Enumeration date
05/24/2012
Last updated
04/28/2023
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