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AGAPE CLINIC INC NPI 1922720333


NPI Information

NPI: 1922720333
Provider Name: AGAPE CLINIC INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 03D2281298

Address:
2140 W 24TH ST STE B
YUMA, AZ
ZIP 85364
Phone: (928) 459-3400
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AGAPE CLINIC INC is an adult medicine family medicine in Yuma, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AGAPE CLINIC INC NPI is 1922720333. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2140 W 24TH ST STE B
YUMA, AZ
ZIP 85364-877
Phone: (928) 459-3400
Fax: (928) 459-2077

The provider's authorized official is John Ernest Williams .
The authorized official title is Executive Director and has the following contact phone number (928) 459-3400.

The CLIA number assigned to this NPI record is 03D2281298 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2022 and was last updated on 9/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LG0600XNurse PractitionerGerontologyNo
4207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.