Full Name | |
---|---|
Speciality | Clinic/center |
Location | 7 Bisbee Rd, Bisbee, Arizona |
Authorized Official Name and Position | Robert Seamon (CEO) |
Authorized Official Contact | 5204326400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
101 Cole Ave Bisbee AZ 85603-1327 Ph: (520) 432-6403 | 7 Bisbee Rd Bisbee AZ 85603-1140 Ph: (520) 432-2042 |
NPI Number | 1568471696 |
---|---|
Provider Enumeration Date | 08/07/2006 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568471696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | H-0098 (Arizona) | Primary |
Bisbee Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-1724 | |