MEDICARE: AMBEST FAMILY HEALTH CLINICS, PLLC

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
1	261QH0100X	Health Service Clinic/Center
2	363L00000X	Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P22410618	OTHER	AZ	CORPORATION ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063068898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBEST FAMILY HEALTH CLINICS, PLLC

Provider Business Mailing Address
First Line	:	4325 S OTIS RD
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-6385
Country	:	US
Telephone Number	:	770-688-6691
Fax Number	:

Provider Business Practice Location Address
First Line	:	4841 S MESA VILLAS DR APT 3
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-6436
Country	:	US
Telephone Number	:	928-577-7368
Fax Number	:	928-299-3373

Authorized Official
Title or Position	:	OWNER / MEMBER MANAGER
Name	:	OKEY ILOEGBUNAM
Credential	:	NP
Telephone Number	:	770-688-6691

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	03/13/2020

Similar Medicare Providers

1588731962 — ADVANCED CHIROPRACTIC CLINIC, P.A.
Practice Location Address:

1808 SECOND BAXTER XING , SUITE 108
FORT MILL, SC
29708-6436

Practice Phone: 803-802-2225
Practice Fax: 803-802-2275

1215164249 — MAYLYN PRICE WELCH D.M.D.
Practice Location Address:

1808 SECOND BAXTER XING STE 208-G
FORT MILL, SC
29708-6436

Practice Phone: 803-830-6080
Practice Fax: 803-830-6025

1821407594 — REVIVE CHIROPRACTIC PC
Practice Location Address:

1808 SECOND BAXTER XING , STE 108
FORT MILL, SC
29708-6436

Practice Phone: 803-802-2225
Practice Fax: 803-802-2275

1568942696 — JEREMY L ADAMS FNP-C
Practice Location Address:

1808 SECOND BAXTER XING
FORT MILL, SC
29708-6436

Practice Phone: 803-802-2225
Practice Fax: 803-802-2275

1760080964 — SEEK SLEEP SOLUTIONS LLC
Practice Location Address:

1808 SECOND BAXTER XING STE 208-G
FORT MILL, SC
29708-6436

Practice Phone: 803-830-6080
Practice Fax: 803-830-6025

1477210128 — ATHLETICO LTD
Practice Location Address:

12345 ALTA VISTA RD STE 113
FORT WORTH, TX
76244-6436

Practice Phone: 682-593-2550
Practice Fax: 682-582-8641

Directions to “AMBEST FAMILY HEALTH CLINICS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.