| Gila Valley Clinic | |
|
1680 S 20th Ave Safford AZ 85546 | |
| (928) 428-1377 | |
| (928) 428-6903 |
| Full Name | Gila Valley Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 S 20th Ave, Safford, Arizona |
| Authorized Official Name and Position | Donna S. Coca (BUSINESS MANAGER) |
| Authorized Official Contact | 9284281377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gila Valley Clinic 1680 S 20th Ave Safford AZ 85546-4011 Ph: (928) 428-1377 | Gila Valley Clinic 1680 S 20th Ave Safford AZ 85546 Ph: (928) 428-1377 |
| NPI Number | 1740767664 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 09/07/2018 |
| Medicare PECOS PAC ID | 4981680683 |
|---|---|
| Medicare Enrollment ID | O20180807002623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740767664 | NPI | - | NPPES |
| 121963 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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