ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC


Address: 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322
Phone: 2137090777

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
ACT Medical Group Arizona Doing Business As Name - Organization

Office Location

Street Address 2 N CENTRAL AVE FL 18
City PHOENIX
State AZ
Zip Code 85004-2322

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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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85004

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Dataset Information

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.

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