IMMACULATE HEART OF MARY FAMILY HEALTH CENTER
NPI 1508469453
Family Medicine in Chandler, AZ

Active since November 20, 2020
2175 N ALMA SCHOOL RD STE 109, CHANDLER, AZ 85224(480) 203-9192 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2021, Nov 20, 2020 (2 updates tracked since 2020).

About Immaculate Heart Of Mary Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMACULATE HEART OF MARY FAMILY HEALTH CENTER (NPI 1508469453) is a healthcare organization registered as a family medicine in Chandler, Arizona and active in the NPI registry since November 2020. The organization lists Charles Armstrong, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508469453
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMMACULATE HEART OF MARY FAMILY HEALTH CENTER
Location Address2175 N ALMA SCHOOL RD STE 109Chandler, AZ 85224-2878
Mailing Address5602 S Jolly Roger RdTempe, AZ 85283-2121
Organization SubpartNo
Authorized OfficialCharles ArmstrongExecutive Director · (480) 203-9192
Enumeration DateNovember 20, 2020
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1508469453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2175 N ALMA SCHOOL RD STE 109, Chandler, AZ 85224

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immaculate Heart Of Mary Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Immaculate Heart Of Mary Family Health Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1255743548
595 N DOBSON RD STE D-65
Chandler, AZ 85224
(480) 718-1300
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1942426689
3332 W OKMULGEE ST
Muskogee, OK 74401
(918) 682-2481
✔ PECOS✔ Accepts Medicare952 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2198294

Immaculate Heart Of Mary Family Health Center · Chandler, AZ
Expired · Oct 29, 2026
CLIA Number03D2198294
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorCharles E. Armstrong
Laboratory Phone(480) 665-2450
Laboratory LocationImmaculate Heart Of Mary Family Health Center2175 N Alma School Rd Bldg C Ste 109, Chandler, AZ 85224
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immaculate Heart Of Mary Family Health Center's NPI number?

The NPI number for Immaculate Heart Of Mary Family Health Center is 1508469453. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Immaculate Heart Of Mary Family Health Center located?

Immaculate Heart Of Mary Family Health Center is located at 2175 N Alma School Rd Ste 109, Chandler, AZ 85224. The listed phone number is (480) 203-9192.

What is Immaculate Heart Of Mary Family Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Immaculate Heart Of Mary Family Health Center enrolled in Medicare?

Yes. Immaculate Heart Of Mary Family Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Immaculate Heart Of Mary Family Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Immaculate Heart Of Mary Family Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Immaculate Heart Of Mary Family Health Center was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.