MEDICARE: JH MEDICAL SERVICES LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1124662788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JH MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	4635 W MCDOWELL RD STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-4149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4635 W MCDOWELL RD STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-4149
Country	:	US
Telephone Number	:	480-210-8382
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	ALEX SPRITZER
Credential	:	NP
Telephone Number	:	623-238-1990

Provider Enumeration Date	:	11/06/2019
Last Update Date	:	11/06/2019

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