San Carlos Apache Healthcare Corporation | |
103 Medicine Way Road Peridot AZ 85542 | |
(928) 475-1200 | |
Not Available |
Full Name | San Carlos Apache Healthcare Corporation |
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Speciality | Dentist - General Practice |
Location | 103 Medicine Way Road, Peridot, Arizona |
Authorized Official Name and Position | Victoria Began (INTERIM CEO) |
Authorized Official Contact | 9284751200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Carlos Apache Healthcare Corporation Po Box 787 Peridot AZ 85542-0787 Ph: () - | San Carlos Apache Healthcare Corporation 103 Medicine Way Road Peridot AZ 85542 Ph: (928) 475-1200 |
NPI Number | 1356790059 |
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Provider Enumeration Date | 06/03/2016 |
Last Update Date | 06/03/2016 |
Identifier | Type | State | Issuer |
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1356790059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |