Provider Demographics
NPI:1073328563
Name:ARIZONA PALLIATIVE CARE PRESCOTT, LLC
Entity type:Organization
Organization Name:ARIZONA PALLIATIVE CARE PRESCOTT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CLADIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CALFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-588-8200
Mailing Address - Street 1:12035 N SAGUARO BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-4647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12035 N SAGUARO BLVD STE 202
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-4647
Practice Address - Country:US
Practice Address - Phone:480-588-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty