ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC (NPI# 1013552124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013552124 |
Entity Type | Organization |
Organization Name | ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC |
Practice Address |
2 N Central Ave Fl 18 Phoenix AZ 85004-2322 |
Mailing Address |
11245 Delano St North Hollywood CA 91606-4219 |
Practice Telephone | 2137090777 |
Mailing Telephone | 2137090777 |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-11-12 |
Authorized Official Name | ZANDRA GONZALES (CFO/COO) |
Authorized Official Telephone | 2137090777 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
ACT Medical Group Arizona | Doing Business As Name - Organization |
Street Address |
2 N CENTRAL AVE FL 18 |
City | PHOENIX |
State | AZ |
Zip Code | 85004-2322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
Find all providers in zip 85004 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023222551 | Mary L Froehlich | Nurse Practitioner | 2930 E Camelback Rd, Phoenix, AZ 85016-4411 | 2007-05-10 |
1396898458 | The Elderly Advocate Inc. | Nurse Practitioner | 4040 E Mcdowell Rd, Suite # 214, Phoenix, AZ 85008-4414 | 2007-01-19 |
1245231042 | Sharolyn Liane Mcclurg | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2005-08-03 |
1417518564 | David S. Farrow | Nurse Practitioner | 4350 E Camelback Rd Ste F100, Phoenix, AZ 85018-8313 | 2019-06-27 |
1427542927 | William Fox Jr. | Nurse Practitioner | 9520 W Palm Ln, Phoenix, AZ 85037-4403 | 2018-06-18 |
1629519335 | Helen Tagormacon Ferrer-irwin | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2017-03-14 |
1518411313 | Susanne Uhrig | Nurse Practitioner | 20040 N 19th Ave Ste A, Phoenix, AZ 85027-4256 | 2016-08-09 |
1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
1568829554 | Anne Bourgeois | Nurse Practitioner | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 | 2016-01-21 |
1689044711 | Healthsignal Partners, LLC | Nurse Practitioner | 21045 N 9th Pl, Suite 205, Phoenix, AZ 85024-5634 | 2015-10-01 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.