Coppermine Chapter House | |
26 Miles South Of Page Coppermine Chapter House Page AZ 86040 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Coppermine Chapter House |
---|---|
Speciality | Clinic/center |
Location | 26 Miles South Of Page, Page, Arizona |
Authorized Official Name and Position | Joseph T Engelken (CEO) |
Authorized Official Contact | 9282832501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coppermine Chapter House Po Box 600 Base Of Operations: 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2781 | Coppermine Chapter House 26 Miles South Of Page Coppermine Chapter House Page AZ 86040 Ph: (928) 283-2501 |
NPI Number | 1215280920 |
---|---|
Provider Enumeration Date | 10/18/2012 |
Last Update Date | 10/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215280920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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