Organization · Type 2 NPI

Adelante Healthcare, Inc.

Federally Qualified Health Center (FQHC) · Wickenburg, AZ

NPI number 1083772545 Active

Practice location

811 North Tegner, Suite 113
Wickenburg, AZ 85390-2226

Call (480) 964-2273 Map

Fax (623) 583-8330

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1083772545
Entity type: Organization (Type 2)
Issued: Dec 5, 2006
Last updated: Apr 28, 2023
Status: Active

Other names

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Adelante Healthcare-Wickenburg · doing business as
Adelante Healthcare-Wickenburg · doing business as

Authorized official

Krystal Powell
Revenue Cycle Director
(623) 583-3001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083772545

Adelante Healthcare, Inc.'s National Provider Identifier is 1083772545, issued on Dec 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wickenburg, AZ. The record was last updated on Apr 28, 2023.