Afc of Queen Creek, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AFC OF QUEEN CREEK, PLLC

Practice address

85 W Combs Rd
Ste 109
San Tan Valley, AZ 85140-9105

Phone

(480) 882-9105

Fax

(480) 458-5833

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By 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

Urissa Boline

Title

Crednetialing MGR

Phone

(480) 726-2287

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Afc of Queen Creek, PLLC

  • Non-Pharmacy Dispensing Site
  • San Tan Valley, AZ
  • NPI 1811328560
  NPPES parent name

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1821432501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S ALMA SCHOOL RD",
            "address_2": "STE 354",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103028",
            "telephone_number": "480-726-2287",
            "fax_number": "888-316-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD",
            "address_2": "STE 109",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409105",
            "telephone_number": "480-882-9105",
            "fax_number": "480-458-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC OF QUEEN CREEK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BOLINE",
        "authorized_official_first_name": "URISSA",
        "authorized_official_title_or_position": "CREDNETIALING MGR",
        "authorized_official_telephone_number": "480-726-2287"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Adam, COTA
• Augustus Kohl Adams
• Felicia D Adams
• Rhoda Addei
• Afc of Queen Creek, PLLC
• Afc Physical Medicine of San Tan Valley, PLLC
• Afc Physical Medicine of San Tan Valley, PLLC
• Affectionate Care Services (Affectionate Transportation)
• Against All Odds Youth Family Services
• Agave Roots Health Care LLC

• General Practice Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.