Provider Demographics
NPI:1811359417
Name:CALLED TO CARE MEDICAL CENTER
Entity type:Organization
Organization Name:CALLED TO CARE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAGINWEN
Authorized Official - Middle Name:KINGSLEY
Authorized Official - Last Name:AYIYI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:602-885-7535
Mailing Address - Street 1:PO BOX 1633
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-0540
Mailing Address - Country:US
Mailing Address - Phone:602-885-7535
Mailing Address - Fax:602-865-8295
Practice Address - Street 1:1806 N 114TH AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-5235
Practice Address - Country:US
Practice Address - Phone:602-885-7535
Practice Address - Fax:602-865-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8375261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center