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NPI Code Detail

MEDICARE: ADELANTE HEALTHCARE INC

MEDICARE: ADELANTE HEALTHCARE INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1235889270
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADELANTE HEALTHCARE INC
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number :
Provider Business Practice Location Address
First Line : 15317 W BELL RD STE 106
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-3901
Country : US
Telephone Number : 480-964-2273
Fax Number :
Authorized Official
Title or Position : CEO
Name : PEDRO CONS III
Credential :
Telephone Number : 623-583-3001
Provider Enumeration Date : 03/24/2022
Last Update Date : 12/01/2025

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Directions to “ADELANTE HEALTHCARE INC ” Practice Location

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