| Tonto Apache Health Care Corporation | |
|
30 Tonto Apache Reservation Payson AZ 85541-5556 | |
| (928) 474-5000 | |
| Not Available |
| Full Name | Tonto Apache Health Care Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Tonto Apache Reservation, Payson, Arizona |
| Authorized Official Name and Position | Calvin Johnson (CHAIRMAN) |
| Authorized Official Contact | 9284745000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonto Apache Health Care Corporation 14818 N 74th St Scottsdale AZ 85260-2405 Ph: (480) 221-8059 | Tonto Apache Health Care Corporation 30 Tonto Apache Reservation Payson AZ 85541-5556 Ph: (928) 474-5000 |
| NPI Number | 1447843651 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 8426420118 |
|---|---|
| Medicare Enrollment ID | O20240729001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447843651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jessica L Balcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320777 PECOS PAC ID: 1850630815 Enrollment ID: I20190308001741 |
| Provider Name | Lisa Carrasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952179962 PECOS PAC ID: 1557709656 Enrollment ID: I20240409002970 |
Paul Christian Alexander Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Airport Rd, Payson, AZ 85541 Phone: 928-474-3216 Fax: 928-474-8369 | |
Derek R Sloan Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 E State Highway 260, Payson, AZ 85541 Phone: 480-492-6399 | |
Bonanza Square Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Frontier St, Suite 5, Payson, AZ 85541 Phone: 928-472-2500 Fax: 928-472-6699 | |
North Beeline Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 N Beeline Hwy, Payson, AZ 85541 Phone: 928-474-4581 | |
Cp Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 S Beeline Hwy, Payson, AZ 85541 Phone: 928-472-2500 | |
Anderson Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 N Beeline Hwy, Payson, AZ 85541 Phone: 928-474-4581 Fax: 928-474-4584 | |
Charles M. Beier, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 S Beeline Hwy Ste 5, Payson, AZ 85541 Phone: 928-472-9303 Fax: 928-472-9554 |