Basic Information
| Provider Information | |||||||||
| NPI: | 1356625347 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | A-HEALTHCARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 W YOSEMITE AVE | ||||||||
| Address2: | |||||||||
| City: | MADERA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936374552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5593014160 | ||||||||
| FaxNumber: | 5596611659 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 W YOSEMITE AVE | ||||||||
| Address2: | |||||||||
| City: | MADERA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936374552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5593014160 | ||||||||
| FaxNumber: | 5596611659 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2011 | ||||||||
| LastUpdateDate: | 10/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | ALEXANDER | ||||||||
| AuthorizedOfficialFirstName: | PATRICIA | ||||||||
| AuthorizedOfficialMiddleName: | A. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5503014160 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | NP7572 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.