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Providence Service, Llc
Clinic/Center in Queen Creek, Arizona
NPI 1245593268

Providence Service, Llc is a Clinic/Center based in Queen Creek, AZ. Providence Service, Llc practices in Queen Creek, AZ. The NPI Number for Providence Service, Llc is 1245593268 and holds a License No. APN0000015886 (Arizona).

The current practice location address for Providence Service, Llc is 2530 W Allens Peak Dr, Queen Creek, AZ and can be reached out via phone at 615-668-4485 and via fax at 480-812-3131.

Location: 2530 W Allens Peak Dr, Queen Creek, AZ, 85142-4642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245593268
Provider Name
Providence Service, Llc
Credential
Provider Entity Type
Organization
Address
2530 W Allens Peak Dr, Queen Creek, AZ, 85142-4642
Phone Number
615-668-4485
Fax Number
480-812-3131
Provider Enumeration Date
06/25/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1524996 05 TN
Z181765 05 AZ
institution
Provider Business Practice Location Address Details
Address
2530 W Allens Peak Dr
City
Queen Creek
State
Arizona
Zip
85142-4642
Phone Number
615-668-4485
Fax Number
480-812-3131
person
Provider Business Mailing Address Details
Address
2530 W Allens Peak Dr
City
Queen Creek
State
Arizona
Zip
85142-4642
Phone Number
615-668-4485
Fax Number
480-812-3131
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
APN0000015886 (Tennessee)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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