Agave Medical Center, LLC
Organization Active NPI Primary Care Clinic/Center · Globe, AZ
NPI 1992980239 · NPPES record last updated Feb 4, 2008
Key facts
- NPI
- 1992980239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- AZ28273 (AZ)
- Legal business name
- AGAVE MEDICAL CENTER, LLC
- Practice address
- 703 E Ash St
Suite 1B
Globe, AZ 85501-1865 - Phone
- (928) 425-3557
- NPI assigned
- Jan 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Holly Elizabeth Rooney, M.D.
- Title
- Director
- Phone
- (928) 425-3557
Practitioners 2
-
Jeffrey G Reres, DO
-
Holly Elizabeth Rooney, M.D.
National Provider Directory
Locations
1100 E Monroe St
Ste 101
Globe, AZ 85501
Phone (928) 425-3557
703 E Ash St
Ste 1B
Globe, AZ 85501
Phone (928) 425-2474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | AZ28273 | AZ | Yes |
Addresses
Primary practice location
703 E Ash St
Suite 1B
Globe, AZ 85501-1865
Mailing address
703 E Ash St
Suite 1B
Globe, AZ 85501-1865
Phone (928) 425-3557
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- Jacob Albin
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- Rachel Alt
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All providers in Globe, AZ · Primary Care Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.