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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