San Carlos Indian Hospital | |
223 Cibecue Circle Road San Carlos AZ 85550-0208 | |
(928) 475-7285 | |
Not Available |
Full Name | San Carlos Indian Hospital |
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Speciality | Clinic/center - Dental |
Location | 223 Cibecue Circle Road, San Carlos, Arizona |
Authorized Official Name and Position | Nella J. Ben (CEO) |
Authorized Official Contact | 9284757347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Carlos Indian Hospital Po Box 208 San Carlos AZ 85550-0208 Ph: (928) 475-7285 | San Carlos Indian Hospital 223 Cibecue Circle Road San Carlos AZ 85550-0208 Ph: (928) 475-7285 |
NPI Number | 1124398961 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
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1124398961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
San Carlos Indian Hospital Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Cibecue Circle Road, San Carlos, AZ 85550 Phone: 928-475-7285 |