| |
Off Highway 191, Hospital Road Chinle AZ 86503-8000 | |
(928) 674-7030 | |
(928) 674-7705 |
Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | Off Highway 191, Hospital Road, Chinle, Arizona |
Authorized Official Name and Position | Patrick Yazzie (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 9286747030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Off Highway 191, Hospital Road Chinle AZ 86503-8000 Ph: (928) 674-7030 | Off Highway 191, Hospital Road Chinle AZ 86503-8000 Ph: (928) 674-7030 |
NPI Number | 1588115133 |
---|---|
Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588115133 | NPI | - | NPPES |
021171 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
San Tan Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600-c Navajo Route 7, Chinle, AZ 86503 Phone: 928-674-3931 Fax: 480-632-0026 | |