OrganizationActive
Advanced Health and Wellness Az
NPI 1154827863 · Clinic/Center · Lakeside, AZ
Provider details
- NPI number
- 1154827863
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hugh Hall, Medical Director(928) 537-7111
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4830 Highway 260 Ste 102
Lakeside, AZ 85929
Phone: (928) 537-7111
Fax: (928) 532-1129
Approximate (ZIP-level) locationGet directions
Mailing address
4830 Highway 260 Ste 102
Lakeside, AZ 85929-5851
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.