Cleanslate Medical Group of Arizona Pllc
Cleanslate Centers- West Thomas Phoenix, Az · Clinic/Center (Multi-Specialty)

Address: 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373
Phone: 4804175289

Cleanslate Medical Group of Arizona Pllc (NPI# 1245865096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245865096
Entity Type Organization
Organization Name CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
Other Organization Name CLEANSLATE CENTERS- WEST THOMAS PHOENIX, AZ
Practice Address 8410 W Thomas Rd Ste 124
Phoenix
AZ 85037-3373
Practice Telephone 4804175289
Mailing Address 15 Century Blvd Ste 307
Nashville
TN 37214-3692
Mailing Telephone 6154250220
Authorized Official Name Jessica Amick (AO)
Authorized Official Telephone 7277988160
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-03-11
Last Update Date 2020-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CleanSlate Centers- West Thomas Phoenix, AZ Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1326585662 Cleanslate Medical Group of Arizona Pllc Internal Medicine 8410 W Thomas, Phoenix, AZ 85037 2017-01-25
1801421656 Cleanslate Medical Group of Arizona Pllc Internal Medicine 15255 N 40th St Ste 135, Phoenix, AZ 85032-4682 2020-03-11
1598390353 Cleanslate Medical Group of Arizona Pllc Internal Medicine 7725 N 43rd Ave Ste 522, Phoenix, AZ 85051-5771 2020-03-11
1376178129 Cleanslate Medical Group of Arizona Pllc Internal Medicine 2451 E Baseline Rd Ste 430, Gilbert, AZ 85234-2473 2020-03-11

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

Street Address 8410 W THOMAS RD STE 124
City PHOENIX
State AZ
Zip Code 85037-3373

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969828 Live Well Assisted Living LLC Psychiatric Residential Treatment Facility 9210 W Loow Bend Lane, Phoenix, AZ 85037 2020-07-10
1770126260 Medical Management Systems, Inc. Assisted Living Facility 2209 N. Rascon Loop, Phoenix, AZ 85037 2019-10-28
1346800760 Sonoran Sky Family Dentistry Dentist 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 2019-06-18
1578025136 Jennifer Natasha Kunz Nurse Practitioner Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 2019-04-03
1740751320 Mariposa Phoenix Al Partners, Lp Assisted Living Facility 3100 N 91st Avenue, Phoenix, AZ 85037 2018-12-08
1417442799 Prop Anesthesia LLC Nurse Anesthetist, Certified Registered 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 2018-06-28
1922522242 Tree of Life Mental Health Systems, LLC Community/Behavioral Health 8400 W. Virginia, #1138, Phoenix, AZ 85037 2017-07-28
1720500465 Moc Phoenix, LLC Assisted Living Facility 3000 N. 91st Avenue, Phoenix, AZ 85037 2017-07-14
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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.