Agave Family Medicine & Breast Feeding Support Center LLC
NPI 1265165484ActiveOrganization· Family Medicine· Tucson, AZ
Family Medicine in Tucson, Arizona, registered in NPPES in July 2022. The authorized official on file is Mary C. Harrel, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265165484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2022 |
| Last updated in NPPES | Sep 30, 2022 |
| Certified by provider | Sep 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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