Hildale Health Services Llc | |
20 South Colvin Street Colorado City AZ 86021-0459 | |
(435) 633-6750 | |
(435) 201-8680 |
Full Name | Hildale Health Services Llc |
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Speciality | Clinic/center |
Location | 20 South Colvin Street, Colorado City, Arizona |
Authorized Official Name and Position | Ezra L Nielsen (OWNER) |
Authorized Official Contact | 4356336750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hildale Health Services Llc Po Box 459 Colorado City AZ 86021-0459 Ph: (435) 633-6750 | Hildale Health Services Llc 20 South Colvin Street Colorado City AZ 86021-0459 Ph: (435) 633-6750 |
NPI Number | 1336536770 |
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Provider Enumeration Date | 04/23/2015 |
Last Update Date | 04/23/2015 |
Identifier | Type | State | Issuer |
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1336536770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AP4846 (Arizona) | Primary |
Hometown Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 S Redwood St # 750, Colorado City, AZ 86021 Phone: 928-377-0629 | |
Creek Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 S Colvin Street # 0418, Colorado City, AZ 86021 Phone: 435-900-1104 |