Provider Demographics
NPI:1528379336
Name:HEALTH FIRST FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:HEALTH FIRST FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-507-0700
Mailing Address - Street 1:888 S GREENFIELD RD #102
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-4010
Mailing Address - Country:US
Mailing Address - Phone:480-507-0700
Mailing Address - Fax:480-507-7477
Practice Address - Street 1:888 S GREENFIELD RD #102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4010
Practice Address - Country:US
Practice Address - Phone:480-507-0700
Practice Address - Fax:480-507-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ541310Medicaid
AZ541310Medicaid