| Gila Health Resources | |
|
401 Burro Aly Morenci AZ 85540-9647 | |
| (928) 865-7502 | |
| (928) 865-9186 |
| Full Name | Gila Health Resources |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Burro Aly, Morenci, Arizona |
| Authorized Official Name and Position | Kristy Byrd (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9289657518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gila Health Resources Po Box 218 Morenci AZ 85540-0218 Ph: (928) 865-7500 | Gila Health Resources 401 Burro Aly Morenci AZ 85540-9647 Ph: (928) 865-7502 |
| NPI Number | 1497740187 |
|---|---|
| Provider Enumeration Date | 09/19/2005 |
| Last Update Date | 01/28/2025 |
| Medicare PECOS PAC ID | 1254327216 |
|---|---|
| Medicare Enrollment ID | O20040423000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497740187 | NPI | - | NPPES |
| 843088 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC3507 (Arizona) | Primary |
| Provider Name | Hollis Ann Burggraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484329 PECOS PAC ID: 8527053420 Enrollment ID: I20040421000636 |
| Provider Name | Ang K Sherpa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336093 PECOS PAC ID: 7012903016 Enrollment ID: I20040423001162 |
| Provider Name | Dan C Regoso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528053261 PECOS PAC ID: 4284621558 Enrollment ID: I20040428000949 |
| Provider Name | Charles S Kertay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871588509 PECOS PAC ID: 4789655739 Enrollment ID: I20040803001214 |
| Provider Name | Shane E Goss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861458077 PECOS PAC ID: 2365462074 Enrollment ID: I20051123000664 |
| Provider Name | Jason E Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083752174 PECOS PAC ID: 6002846722 Enrollment ID: I20070828000163 |
| Provider Name | Jonathan Manwaring |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1386805075 PECOS PAC ID: 6507907672 Enrollment ID: I20100112000198 |
| Provider Name | Jeffrey P Beeley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811935703 PECOS PAC ID: 9638159502 Enrollment ID: I20110110000465 |
| Provider Name | Michael Dean Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568469526 PECOS PAC ID: 0143369660 Enrollment ID: I20130320000778 |
| Provider Name | Deepa Saha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457690752 PECOS PAC ID: 2264679141 Enrollment ID: I20130513000658 |
| Provider Name | Naomi Clancy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972504934 PECOS PAC ID: 8921071721 Enrollment ID: I20140409001027 |
| Provider Name | Sonia Alers Seufer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609807957 PECOS PAC ID: 7315087442 Enrollment ID: I20160112002879 |
| Provider Name | Nicholas King Baldwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598022063 PECOS PAC ID: 9234437328 Enrollment ID: I20160405001925 |
| Provider Name | Christal Michelle Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457804932 PECOS PAC ID: 4486941366 Enrollment ID: I20160920002299 |
| Provider Name | Neva Corbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003299785 PECOS PAC ID: 0042529174 Enrollment ID: I20170125001903 |