| Seabhs- Clifton Outpatient | |
|
10-a Ward Canyon Road, Room 2 Clifton AZ 85533 | |
| (928) 865-4531 | |
| (928) 865-4821 |
| Full Name | Seabhs- Clifton Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10-a Ward Canyon Road, Room 2, Clifton, Arizona |
| Authorized Official Name and Position | John Motowski (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5205860800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabhs- Clifton Outpatient P.o Box 2161 611 W. Union Street Benson AZ 85602 Ph: (520) 586-0800 | Seabhs- Clifton Outpatient 10-a Ward Canyon Road, Room 2 Clifton AZ 85533 Ph: (928) 865-4531 |
| NPI Number | 1902993470 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902993470 | NPI | - | NPPES |
| BH-2696 | Other | AZ | AZ DEPT. OF HEALTH SERV. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2696 (Arizona) | Primary |