SFC Shane

Exclusive Provider Organization · Apache Junction, AZ

Organization Active NPI

NPI number 1508228701

Practice location

460 E Osage Ave
1
Apache Junction, AZ 85119-3748
Phone
(480) 862-5741

Open in Google Maps

NPI record

NPI
1508228701
Entity type
Organization (Type 2)
Enumeration date
March 25, 2016
Last updated
March 25, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary 302F00000X — —

Mailing address

11543 E Dartmouth St
Mesa, AZ 85207-2355
Phone
(480) 862-5741

Authorized official

Name
Shane M Elson, OWNER
Title
Long Term Care Provider
Phone
(480) 862-5741

About SFC Shane

SFC Shane is a healthcare organization registered in the NPI registry with the primary taxonomy Exclusive Provider Organization (code 302F00000X). The practice location is 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748. The NPI number 1508228701 was assigned on March 25, 2016 and the record was last updated on March 25, 2016.

The authorized official for this organization is Shane M Elson, OWNER, Long Term Care Provider.

Frequently asked questions

What is the NPI number of SFC Shane?

The NPI number is 1508228701.

What is the phone number of SFC Shane?

The phone number listed for the practice location is (480) 862-5741.

Where is SFC Shane located?

460 E Osage Ave, 1, Apache Junction, AZ 85119-3748.

What is the taxonomy code for SFC Shane?

The primary taxonomy code is 302F00000X – Exclusive Provider Organization.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.