MEDICARE: ALERACARE AIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QI0500X	Infusion Therapy Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center
3	207QA0505X	Adult Medicine Physician
4	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1124735063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALERACARE AIC LLC

Provider Business Mailing Address
First Line	:	5350 E HIGH ST STE 300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054-5561
Country	:	US
Telephone Number	:	888-209-8874
Fax Number	:	877-637-6691

Provider Business Practice Location Address
First Line	:	20950 N TATUM BLVD STE 350
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4256
Country	:	US
Telephone Number	:	888-209-8874
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT OF SALES
Name	:	SCOTT FRIEDMAN
Credential	:
Telephone Number	:	888-209-8874

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	09/11/2025

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