Organization · Type 2 NPI
Providence Service, LLC
Clinic/Center · Queen Creek, AZ
NPI number
1245593268
Active
Practice location
2530 W Allens Peak Dr
Queen Creek, AZ 85142-4642
Fax (480) 812-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | APN0000015886 (TN) |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Queen Creek
About NPI 1245593268
Providence Service, LLC's National Provider Identifier is 1245593268, issued on Jun 25, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Queen Creek, AZ. The record was last updated on Nov 22, 2022.