Ashley Clyde LLC
Clinic/Center (Occupational Medicine)

Address: 2432 W Peoria Ave Ste 1200, Phoenix, AZ 85029-4736
Phone: 6027158045

Ashley Clyde LLC (NPI# 1801490461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1801490461
Entity Type Organization
Organization Name ASHLEY CLYDE LLC
Practice Address 2432 W Peoria Ave Ste 1200
AZ 85029-4736
Practice Telephone 6027158045
Practice Fax Number 6024414673
Mailing Address 2432 W Peoria Ave Ste 1200
AZ 85029-4736
Mailing Telephone 6027158045
Mailing Fax Number 6024414673
Authorized Official Name Jodi L Lindstrom (OWNER)
Authorized Official Telephone 6238261207
Authorized Official Credential ATP
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-24
Last Update Date 2020-11-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QX0100X Clinic/Center · Occupational Medicine Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2432 W PEORIA AVE STE 1200
State AZ
Zip Code 85029-4736

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1609360007 Melissa Lynn Denton Specialist/Technologist 4014 W Paradise Dr, Phoenix, AZ 85029 2018-06-19
1275038713 Jamilah Amirah Behavior Analyst 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 2018-03-27
1639687056 Empower Home Care, LLC. Home Health 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 2018-01-19
1467975698 Samantha June Collett Nurse Practitioner 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1073966347 Meka Joi Green Social Worker 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 2016-07-21
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Zip Code 85029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.