Active NPI
Immaculate Heart of Mary Family Health Center
- Family Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IMMACULATE HEART OF MARY FAMILY HEALTH CENTER
- Practice address
- 2175 N Alma School Rd Ste 109
Chandler, AZ 85224-2878 - Phone
- (480) 203-9192
- NPI assigned
- Nov 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Armstrong, DO
- Title
- Executive Director
- Phone
- (480) 203-9192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2175 N Alma School Rd Ste 109
Chandler, AZ 85224-2878
Mailing address
5602 S Jolly Roger Rd
Tempe, AZ 85283-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2198294 | Immaculate Heart of Mary | Provider-performed microscopy | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
2175 N Alma School Rd
Ste C109
Chandler, AZ 85224
Phone (480) 219-3766
2175 N Alma School Rd
Ste 104
Chandler, AZ 85224
2175 N Alma School Rd
Chandler, AZ 85224
Phone (480) 814-7800
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wheat Ridge, CO
- NPI 1790395853
-
- Foot & Ankle Surgery Podiatrist
- Chandler, AZ
- NPI 1053461053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1508469453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5602 S JOLLY ROGER RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 N ALMA SCHOOL RD STE 109",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242878",
"telephone_number": "480-203-9192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMACULATE HEART OF MARY FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2021-04-27",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "480-203-9192",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.