Agave Physician Services LLC
Internal Medicine, Hospice and Palliative Medicine in Phoenix, Arizona
1053082263- 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. The NPI number for Agave Physician Services LLC is 1053082263. The current practice location address is 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050-2652 and the office can be reached by phone at 602-855-3500 and by fax at 855-930-3500. The NPI was assigned on September 27, 2021 and the record was last updated in NPPES on September 27, 2021.
●Provider Profile Details
- NPI Number
- 1053082263
- Provider Name
- Agave Physician Services LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Internal Medicine, Hospice and Palliative Medicine · 207RH0002X
- Organization Subpart
- No
- Authorized Official
- Rhett S Andersen · Member · 801-420-0077
- Enumeration Date
- September 27, 2021
- Last Update Date
- September 27, 2021
- Certification Date
- September 27, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3240 E Union Hills Dr Ste 145
Phoenix, AZ 85050-2652 - City
- Phoenix
- State
- Arizona
- ZIP
- 85050-2652
- Country
- US
- Phone Number
- 602-855-3500
- Fax Number
- 855-930-3500
✉Business Mailing Address
- Address
- 1008 N 1100 E
Pleasant Grove, UT 84062-2066 - City
- Pleasant Grove
- State
- UT
- ZIP
- 84062-2066
- Phone Number
- 801-420-0077
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine 193400000X - Single Specialty Group | 207RH0002X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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 at npiregistry.cms.hhs.gov.