ADELANTE HEALTHCARE, INC. – NPI #1275017915
Clinic/Center

ADELANTE HEALTHCARE, INC. is an AHC clinic located in GOODYEAR, AZ. NPPES has assigned the NPI number 1275017915 to ADELANTE HEALTHCARE, INC. on September 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ADELANTE HEALTHCARE, INC. is also known by the name ADELANTE HEALTHCARE GOODYEAR. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Apr 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADELANTE HEALTHCARE, INC. below.

NPI Profile for
ADELANTE HEALTHCARE, INC.

NPI Number
1275017915
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADELANTE HEALTHCARE, INC.
Other Name: ADELANTE HEALTHCARE GOODYEAR
Primary location
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Phone: (480) 964-2273 Fax: (623) 876-9559
Mailing address
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012-2808
Phone: (877) 809-5092 Fax: (623) 876-9559
Organization Subpart
No
Authorized Official
KRYSTAL POWELL
REVENUE CYCLE DIRECTOR
Phone: (623) 583-3001
Updated
Certification Date
Apr 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.