- Practice location
- 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050-2652
- Phone
- 602-855-3500
- Fax
- 855-930-3500
- Last updated
- September 27, 2021
Agave Physician Services LLC is a healthcare organization based in Phoenix, AZ. Agave Physician Services LLC practices in Phoenix, AZ. The NPI Number for Agave Physician Services LLC is 1053082263. The current practice location address for Agave Physician Services LLC is 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050-2652 and can be reached out via phone at 602-855-3500 and via fax at 855-930-3500.
Provider Profile Details
- NPI Number
- 1053082263
- Provider Name
- Agave Physician Services LLC
- Provider Entity Type
- Organization
- Address
- 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050-2652
- Phone Number
- 602-855-3500
- Fax Number
- 855-930-3500
- Primary Taxonomy
- Internal Medicine, Hospice and Palliative Medicine · 207RH0002X
- Organization Subpart
- No
- Authorized Official
- Rhett S Andersen · Member · 801-420-0077
- Provider Enumeration Date
- September 27, 2021
- Last Update Date
- September 27, 2021
- Certification Date
- September 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3240 E Union Hills Dr Ste 145
Phoenix, AZ 85050-2652 - City
- Phoenix
- State
- Arizona
- Zip
- 85050-2652
- Phone Number
- 602-855-3500
- Fax Number
- 855-930-3500
Provider Business Mailing Address Details
- Address
- 1008 N 1100 E
Pleasant Grove, UT 84062-2066 - City
- Pleasant Grove
- State
- UT
- Zip
- 84062-2066
- Phone Number
- 801-420-0077
License Information
- Taxonomy
- Internal Medicine, Hospice and Palliative Medicine · 207RH0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agave Physician Services LLC?
The NPI number of Agave Physician Services LLC is 1053082263. It was assigned on September 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Agave Physician Services LLC?
Agave Physician Services LLC is registered under the primary taxonomy Internal Medicine, Hospice and Palliative Medicine (code 207RH0002X).
Where does Agave Physician Services LLC practice?
The practice location is 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050-2652. The office can be reached at 602-855-3500 (phone) or 855-930-3500 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053082263 directly on the NPPES registry website.