Adelante Healthcare Inc Mesa

LBN: Adelante Healthcare, Inc.
Adelante Healthcare Inc Mesa is an health care organization with primary practice located at 1705 W Main St , Mesa AZ 85201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Adelante Healthcare, Inc. can be contacted via phone (480) 964-2273, or through Powell, Krystal via phone (623) 583-3001.

Contact Information

Primary practice address
1705 W Main St Mesa AZ 85201
Phone: (480) 964-2273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powell, Krystal
Phone: (623) 583-3001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Y005500 Arizona

Profile Details

NPI number 1699035501
LBN Legal business name Adelante Healthcare, Inc.
DBA Doing business as Adelante Healthcare Inc Mesa
Authorized official Powell, Krystal
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2012
Last updated Apr 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699035501 NPPES
Arizona MEDICAID 311161

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