Provider Demographics
NPI:1699357467
Name:PS CLINICS, LLC
Entity Type:Organization
Organization Name:PS CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFRIES
Authorized Official - Suffix:
Authorized Official - Credentials:CRC
Authorized Official - Phone:480-656-7328
Mailing Address - Street 1:3724 N 3RD ST. SUITE 301
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2035
Mailing Address - Country:US
Mailing Address - Phone:480-332-4222
Mailing Address - Fax:602-237-5186
Practice Address - Street 1:3724 N 3RD ST. SUITE 301
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2035
Practice Address - Country:US
Practice Address - Phone:480-332-4222
Practice Address - Fax:602-237-5186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain