Healthcare Provider Details

I. General information

NPI: 1043830623
Provider Name (Legal Business Name): FHMC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N SAGUARO BLVD
FOUNTAIN HILLS AZ
85268-6241
US

IV. Provider business mailing address

PO BOX 248959
OKLAHOMA CITY OK
73124-8959
US

V. Phone/Fax

Practice location:
  • Phone: 602-671-7990
  • Fax: 602-755-0456
Mailing address:
  • Phone: 480-339-4825
  • Fax: 602-883-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MEKA N EZEUME
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 602-214-8061