Cibecue | |
North Cromwell Road Cibecue AZ 85911 | |
(928) 332-2560 | |
(928) 338-5508 |
Full Name | Cibecue |
---|---|
Speciality | Clinic/center - Dental |
Location | North Cromwell Road, Cibecue, Arizona |
Authorized Official Name and Position | Michelle Martinez (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9283384911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cibecue P.o. Box 860 200 Hospital Drive Whiteriver AZ 85941-0860 Ph: (928) 338-4911 | Cibecue North Cromwell Road Cibecue AZ 85911 Ph: (928) 332-2560 |
NPI Number | 1184874034 |
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Provider Enumeration Date | 09/29/2008 |
Last Update Date | 03/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184874034 | NPI | - | NPPES |
092461 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |