Lake Powell Medical Center | |
467 Vista Avenue Page AZ 86040-1625 | |
(928) 645-8123 | |
(928) 645-3862 |
Full Name | Lake Powell Medical Center |
---|---|
Speciality | Clinic/center - Community Health |
Location | 467 Vista Avenue, Page, Arizona |
Authorized Official Name and Position | Christopher J Hansen (CEO) |
Authorized Official Contact | 9286459675 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Powell Medical Center Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Lake Powell Medical Center 467 Vista Avenue Page AZ 86040-1625 Ph: (928) 645-8123 |
NPI Number | 1619945904 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619945904 | NPI | - | NPPES |
432857 | Medicaid | AZ |
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