Cibecue Health Center | |
North Cromwell Road Cibecue AZ 85911 | |
(928) 332-2560 | |
(928) 338-5508 |
Full Name | Cibecue Health Center |
---|---|
Speciality | Clinic/center |
Location | North Cromwell Road, Cibecue, Arizona |
Authorized Official Name and Position | Michelle Martinez (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9283384911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cibecue Health Center Po Box 860 Whiteriver AZ 85941-0860 Ph: (928) 338-5509 | Cibecue Health Center North Cromwell Road Cibecue AZ 85911 Ph: (928) 332-2560 |
NPI Number | 1427335181 |
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Provider Enumeration Date | 11/09/2011 |
Last Update Date | 03/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427335181 | NPI | - | NPPES |
020561 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |