MEDICARE: ADVANCED CARDIAC SPECIALISTS , CHARTERED

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	261Q00000X	Clinic/Center	OTC3866	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194756932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARDIAC SPECIALISTS , CHARTERED

Provider Business Mailing Address
First Line	:	PO BOX 63423
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85082-3423
Country	:	US
Telephone Number	:	480-892-2800
Fax Number	:	480-982-1400

Provider Business Practice Location Address
First Line	:	2050 W SOUTHERN AVE
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85220-7305
Country	:	US
Telephone Number	:	480-892-2800
Fax Number	:	480-982-1400

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MR. WILLIAM FAZIO
Credential	:
Telephone Number	:	480-545-1808

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	05/14/2009

Similar Medicare Providers

1952382525 — FOOTHILL CARE CENTER, LLC
Practice Location Address:

2012 W SOUTHERN AVE
APACHE JUNCTION, AZ
85220-7305

Practice Phone: 480-983-0700
Practice Fax: 480-983-7318

1205273406 — EMERGENCY PROFESSIONAL SERVICES PC
Practice Location Address:

2050 W SOUTHERN AVE
APACHE JUNCTION, AZ
85120-7305

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

1780671537 — SEEMEEN SIDDIQI M.D.
Practice Location Address:

2050 W SOUTHERN AVE
APACHE JUNCTION, AZ
85120-7305

Practice Phone: 602-467-4757
Practice Fax: 602-371-4960

1184687121 — DELMAR KENT LAYTON MD
Practice Location Address:

2050 W SOUTHERN AVE
APACHE JUNCTION, AZ
85120-7305

Practice Phone: 602-839-6968
Practice Fax: 602-839-4144

1649216482 — MS. LORI ANN DELABIO COTA/L
Practice Location Address:

2012 W SOUTHERN AVE
APACHE JUNCTION, AZ
85120-7305

Practice Phone: 480-983-0700
Practice Fax: 480-288-0403

1790016244 — APACHE JUNCTION HOSPITAL, LLC
Practice Location Address:

2050 W SOUTHERN AVE
APACHE JUNCTION, AZ
85120-7305

Practice Phone: 480-237-3200
Practice Fax: 480-237-3206

Directions to “ADVANCED CARDIAC SPECIALISTS , CHARTERED ” 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.