| Arizona Community Health Care Llc | |
|
255 N Central Blvd Ste 4 Quartzsite AZ 85346 | |
| (928) 927-4226 | |
| (928) 927-4231 |
| Full Name | Arizona Community Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 255 N Central Blvd, Quartzsite, Arizona |
| Authorized Official Name and Position | Edward H Kowaleski (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9289274226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Community Health Care Llc Po Box 2659 Quartzsite AZ 85346-2659 Ph: (928) 927-4226 | Arizona Community Health Care Llc 255 N Central Blvd Ste 4 Quartzsite AZ 85346 Ph: (928) 927-4226 |
| NPI Number | 1962689653 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962689653 | NPI | - | NPPES |
| 451839 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16098 (Arizona) | Primary |
La Paz Medical Services-quartzsite Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 E Tyson Road, Quartzsite, AZ 85359 Phone: 928-927-8747 Fax: 928-927-8748 | |
Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 394 N Central Blvd, Quartzsite, AZ 85346 Phone: 928-927-5454 Fax: 927-928-3303 |