Mrs Rachel Ann Shorthouse, MPH, MS, RD | |
103 Medicine Way Road, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 | |
(928) 475-1469 | |
Not Available |
Full Name | Mrs Rachel Ann Shorthouse |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 103 Medicine Way Road, Peridot, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790232288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Ton Sells Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
Provider Name | Ton San Xavier Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
Provider Name | Ton Santa Rosa Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
Provider Name | Ton San Simon Health Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
Provider Name | San Carlos Apache Healthcare Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rachel Ann Shorthouse, MPH, MS, RD 103 Medicine Way Road, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 Ph: (928) 475-1469 | Mrs Rachel Ann Shorthouse, MPH, MS, RD 103 Medicine Way Road, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 Ph: (928) 475-1469 |
Amanda Huber, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 217-820-8705 | |
Layla Rose Wall, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Medicine Road, Peridot, AZ 85542 Phone: 928-475-1467 | |
Tamara Scott, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1343 |