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NPI Code Detail

MEDICARE: STEADFAST HEALTH LLC

MEDICARE: STEADFAST HEALTH 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1811673411
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEADFAST HEALTH LLC
Provider Business Mailing Address
First Line : 1134 E UNIVERSITY DR STE 110
Second Line :
City : MESA
State : AZ
Zip : 85203-8048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1134 E UNIVERSITY DR STE 110
Second Line :
City : MESA
State : AZ
Zip : 85203-8048
Country : US
Telephone Number : 480-869-7180
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHRISTINE COATS
Credential :
Telephone Number : 480-869-7180
Provider Enumeration Date : 06/27/2023
Last Update Date : 06/27/2023

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Directions to “STEADFAST HEALTH LLC ” Practice Location

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