Provider Demographics
NPI:1891454146
Name:ADELANTE HEALTHCARE INC
Entity Type:Organization
Organization Name:ADELANTE HEALTHCARE INC
Other - Org Name:ADELANTE HEALTHCARE GILA BEND BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-583-3001
Mailing Address - Street 1:3033 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2809
Mailing Address - Country:US
Mailing Address - Phone:162-358-3300
Mailing Address - Fax:
Practice Address - Street 1:100 N GILA BLVD
Practice Address - Street 2:
Practice Address - City:GILA BEND
Practice Address - State:AZ
Practice Address - Zip Code:85337-1016
Practice Address - Country:US
Practice Address - Phone:480-964-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health