Provider Demographics
NPI:1700468527
Name:ALANTE PRIMARY CARE AND PALLIATIVE SERVICES LLC
Entity Type:Organization
Organization Name:ALANTE PRIMARY CARE AND PALLIATIVE SERVICES LLC
Other - Org Name:ALANTE PRIMARY CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-201-8356
Mailing Address - Street 1:8502 E PRINCESS DR STE 200E
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7802
Mailing Address - Country:US
Mailing Address - Phone:480-761-6355
Mailing Address - Fax:
Practice Address - Street 1:8502 E PRINCESS DR STE 200E
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7802
Practice Address - Country:US
Practice Address - Phone:480-631-4978
Practice Address - Fax:844-443-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty