Coleman Health Llc | |
3123 N Spring Valley Rd #50146 Parks AZ 86018-0146 | |
(307) 413-2050 | |
Not Available |
Full Name | Coleman Health Llc |
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Speciality | Clinic/center - Primary Care |
Location | 3123 N Spring Valley Rd, Parks, Arizona |
Authorized Official Name and Position | Anna L Schwartz (PRESIDENT) |
Authorized Official Contact | 3074132050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coleman Health Llc Po Box 50146 Parks AZ 86018-0146 Ph: (307) 413-2050 | Coleman Health Llc 3123 N Spring Valley Rd #50146 Parks AZ 86018-0146 Ph: (307) 413-2050 |
NPI Number | 1376839597 |
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Provider Enumeration Date | 06/27/2011 |
Last Update Date | 05/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376839597 | NPI | - | NPPES |
1073656120 | Other | WY | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | 27354.1007 (Wyoming) | Secondary |