Ldr Medical Clinic, Llc | |
305 W Second St Winslow AZ 86047-3406 | |
(928) 289-6093 | |
(928) 289-6787 |
Full Name | Ldr Medical Clinic, Llc |
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Speciality | Clinic/Center |
Location | 305 W Second St, Winslow, Arizona |
Authorized Official Name and Position | Lisa Diane Romero (NURSE PRACTITIONER, BUSINESS OWNER) |
Authorized Official Contact | 9282896093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ldr Medical Clinic, Llc 305 W Second St Winslow AZ 86047-3406 Ph: (928) 289-6093 | Ldr Medical Clinic, Llc 305 W Second St Winslow AZ 86047-3406 Ph: (928) 289-6093 |
NPI Number | 1255846788 |
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Provider Enumeration Date | 12/06/2017 |
Last Update Date | 06/16/2018 |
Medicare PECOS PAC ID | 3274892187 |
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Medicare Enrollment ID | O20180123002410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255846788 | NPI | - | NPPES |
1255575411 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | AP3306 (Arizona) | Primary |
Little Colorado Physicians Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801 | |
Winslow Indian Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 N Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290 | |
Winslow Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-6289 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W. Lee Street, Winslow, AZ 86047 Phone: 928-289-2000 Fax: 928-289-0036 | |
Winslow Indian Health Care Ctr Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6291 | |
Little Colorado Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-3855 |