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463 S. Lake Powell Blvd Page AZ 86040-0790 | |
| (928) 645-5113 | |
| (928) 645-3254 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 463 S. Lake Powell Blvd, Page, Arizona |
| Authorized Official Name and Position | Michele Axlund (FINANCE DIRECTOR) |
| Authorized Official Contact | 9286455113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 790 Page AZ 86040-0790 Ph: (928) 645-5113 | 463 S. Lake Powell Blvd Page AZ 86040-0790 Ph: (928) 645-5113 |
| NPI Number | 1376832469 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376832469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MED4576 (Arizona) | Primary |
Encompass Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Elm A&b, Page, AZ 86040 Phone: 928-645-4906 Fax: 928-645-3254 | |
Canyonlands Community Healthcare - Bh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 467 Vista Avenue, Page, AZ 86040 Phone: 928-645-9675 |