Providence Service, LLC
NPI 1245593268ActiveOrganization· Clinic/Center· Queen Creek, AZ
Clinic/Center in Queen Creek, Arizona, registered in NPPES in June 2012. The authorized official on file is Olayinka O. Osinloye, NP, Fnp/Pmhnp.
Overview
| NPI | 1245593268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2012 |
| Last updated in NPPES | Nov 22, 2022 |
| Certified by provider | Nov 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center | 261Q00000X | APN0000015886 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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