Summit Healthcare Association | |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 | |
(928) 537-6393 | |
(928) 532-2131 |
Full Name | Summit Healthcare Association |
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Speciality | Psychiatric Unit |
Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
Authorized Official Name and Position | Jill Bluse (HEALTH PLAN CREDENTIALING COORDINAT) |
Authorized Official Contact | 9285376393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit Healthcare Association 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-6393 | Summit Healthcare Association 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-6393 |
NPI Number | 1477104552 |
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Provider Enumeration Date | 09/20/2019 |
Last Update Date | 09/20/2019 |
Medicare PECOS PAC ID | 3779568647 |
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Medicare Enrollment ID | O20191113002227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477104552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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