| Hopi Health Care Center | |
|
Highway 264 Milepost 388 Polacca AZ 86042-4000 | |
| (928) 737-6000 | |
| Not Available |
| Full Name | Hopi Health Care Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Highway 264 Milepost 388, Polacca, Arizona |
| Authorized Official Name and Position | Theresa Ann Wilson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9287376188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopi Health Care Center Highway 264 Milepost 388 Polacca AZ 86042-4000 Ph: () - | Hopi Health Care Center Highway 264 Milepost 388 Polacca AZ 86042-4000 Ph: (928) 737-6000 |
| NPI Number | 1891130522 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891130522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0698081 (New York) | Primary |
Hopi Health Care Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Highway 264 Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6080 |