Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 601 N Navajo, Page, Arizona |
Authorized Official Name and Position | Ralph Parker (CEO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | 601 N Navajo Page AZ 86040 Ph: (928) 645-0766 |
NPI Number | 1902317829 |
---|---|
Provider Enumeration Date | 10/18/2017 |
Last Update Date | 04/12/2024 |
Medicare PECOS PAC ID | 5496665861 |
---|---|
Medicare Enrollment ID | O20180118001385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902317829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Banner Hospital Based Physicians Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Navajo, Page, AZ 86040 Phone: 928-645-0112 | |
Banner Physician Specialists Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Navajo, Page, AZ 86040 Phone: 928-645-0131 Fax: 928-645-3549 | |
Banner - University Physician Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Navajo Dr, Page, AZ 86040 Phone: 928-645-0131 Fax: 928-645-3549 | |
Canyonlands Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Elm Street, #9, Page, AZ 86040 Phone: 928-645-8864 |