Prime Medhealth LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

PRIME MEDHEALTH LLC

Practice address

17224 N 43Rd Ave Ste 105
Glendale, AZ 85308-4025

Phone

(480) 567-5258

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy Anwuli Arah

Title

Administration

Phone

(480) 567-5258

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1265258883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 N 43RD AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084025",
            "telephone_number": "480-567-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 N 43RD AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084025",
            "telephone_number": "480-567-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "ARAH",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ANWULI",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "480-567-5258"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Care Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Recovery Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.