ADELANTE HEALTHCARE, INC. (NPI# 1275017915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275017915 |
Entity Type | Organization |
Organization Name | ADELANTE HEALTHCARE, INC. |
Other Organization Name | ADELANTE HEALTHCARE GOODYEAR |
Practice Address |
13471 W Cornerstone Blvd Goodyear AZ 85395 |
Mailing Address |
3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 |
Practice Telephone | 8778095092 |
Practice Fax Number | 6238769559 |
Mailing Telephone | 8778095092 |
Mailing Fax Number | 6238769559 |
Enumeration Date | 2018-09-19 |
Last Update Date | 2019-03-06 |
Authorized Official Name | KRYSTAL POWELL (REVENUE CYCLE DIRECTOR) |
Authorized Official Telephone | 6235833001 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Adelante Healthcare Goodyear | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407132673 | Adelante Healthcare, Inc. | Clinic/Center | 15317 W Bell Rd, Surprise, AZ 85374-3877 | 2011-11-01 |
1083772545 | Adelante Healthcare, Inc. | Family Medicine | 811 North Tegner, Suite 113, Wickenburg, AZ 85390-2226 | 2006-12-05 |
1386702942 | Adelante Healthcare, Inc. | Family Medicine | 100 North Gila Blvd., Gila Bend, AZ 85337-0480 | 2006-12-05 |
1528126133 | Adelante Healthcare, Inc. | Family Medicine | 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 | 2006-12-05 |
1093227324 | Adelante Healthcare, Inc. | Psychiatry & Neurology | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2017-10-26 |
1770991291 | Adelante Healthcare, Inc. | Clinic/Center | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2014-07-28 |
1699035501 | Adelante Healthcare, Inc. | Clinic/Center | 1705 W Main St, Mesa, AZ 85201 | 2012-05-24 |
1801954441 | Adelante Healthcare, Inc. | Family Medicine | 306 E Monroe Ave, Buckeye, AZ 85326-2706 | 2006-12-05 |
1891853446 | Adelante Healthcare, Inc. | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2006-12-05 |
1205994761 | Adelante Healthcare, Inc. | Dentist | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2006-12-05 |
Street Address |
13471 W CORNERSTONE BLVD |
City | GOODYEAR |
State | AZ |
Zip Code | 85395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942228259 | Kevin Todd Stephan | Internal Medicine | 13471 W Cornerstone Blvd, Goodyear, AZ 85395 | 2006-07-17 |
1043821465 | Emily Masek | Dietitian, Registered | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2020-08-10 |
1881217248 | Adelante Healthcare, Inc | Community/Behavioral Health | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2020-05-20 |
1508340506 | Alice Proia | Nurse Practitioner | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2018-09-17 |
1548641376 | Morgan West | Obstetrics & Gynecology | 13471 W Cornerstone Blvd, Goodyear, AZ 85395 | 2015-06-17 |
1942687421 | Rachel Levey Caruso | Pediatrics | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2015-05-04 |
1265827885 | Kara Lynn Combs | Family Medicine | 13471 W Cornerstone Blvd, Goodyear, AZ 85395 | 2015-03-31 |
1689086225 | Michele T. Kinkaid | Social Worker | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2014-06-02 |
1184049892 | Allison Norman | Social Worker | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2014-03-04 |
1104137256 | Bonte Gbemudu | Family Medicine | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2010-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
Find all providers in zip 85395 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922105204 | Mountain Park Health Center | Clinic/Center | 140 N Litchfield Rd Ste 200&106, Goodyear, AZ 85338-1277 | 2006-09-20 |
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1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
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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.