OrganizationActive
Away Clinic LLC
NPI 1104559376 · Clinic/Center · Chandler, AZ
Provider details
- NPI number
- 1104559376
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paige Ellsworth, Operations Coordinator(480) 712-8865
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone: (480) 712-8865
Approximate (ZIP-level) locationGet directions
Mailing address
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Additional practice locations (1)
- 3308 N Higley Rd Ste 103Mesa, AZ 85215-9781Phone: (480) 712-8865
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.