| |
Highway 264 Milepost 388 Polacca AZ 86042-4000 | |
(928) 737-6000 | |
(928) 737-6080 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | Highway 264 Milepost 388, Polacca, Arizona |
Authorized Official Name and Position | Daryl Melvin (CEO) |
Authorized Official Contact | 9287376010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highway 264 Milepost 388 Po Box 4000 Polacca AZ 86042-4000 Ph: (928) 737-6000 | Highway 264 Milepost 388 Polacca AZ 86042-4000 Ph: (928) 737-6000 |
NPI Number | 1356628028 |
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Provider Enumeration Date | 11/09/2011 |
Last Update Date | 05/24/2016 |
Medicare PECOS PAC ID | 5698941466 |
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Medicare Enrollment ID | O20120130000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356628028 | NPI | - | NPPES |
861717 | Medicaid | AZ | |
020529 | Medicaid | AZ |
Hopi Health Care Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 264 Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 |