| Eagle Rock Health Clinc | |
|
117 W Route 66 Suite 190 Williams AZ 86046-2567 | |
| (928) 635-1044 | |
| (928) 635-1042 |
| Full Name | Eagle Rock Health Clinc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 117 W Route 66, Williams, Arizona |
| Authorized Official Name and Position | Gerald J Taitague (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9286351044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Rock Health Clinc 117 W Route 66 Suite 190 Williams AZ 86046-2567 Ph: (928) 635-1044 | Eagle Rock Health Clinc 117 W Route 66 Suite 190 Williams AZ 86046-2567 Ph: (928) 635-1044 |
| NPI Number | 1689813834 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689813834 | NPI | - | NPPES |
| 426503 | Other | AZ | AHCCCS |
| 01-0064151 | Other | AZ | RAILROAD MEDICARE |
| AZ0865880 | Other | AZ | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26182 (Arizona) | Primary |
North Country Healthcare Inc. Williams Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403 |