| Little Colorado Physicians Office | |
|
200 Lee St Winslow AZ 86047-2603 | |
| (928) 289-3396 | |
| (928) 289-2801 |
| Full Name | Little Colorado Physicians Office |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Lee St, Winslow, Arizona |
| Authorized Official Name and Position | Travis Udall (CEO) |
| Authorized Official Contact | 9282894691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Colorado Physicians Office 1501 N Williamson Ave Winslow AZ 86047-2735 Ph: (928) 289-4691 | Little Colorado Physicians Office 200 Lee St Winslow AZ 86047-2603 Ph: (928) 289-3396 |
| NPI Number | 1144710203 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8628988409 |
|---|---|
| Medicare Enrollment ID | O20170524001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144710203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 03-8507 (Arizona) | Primary |
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 | |
Ldr Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 W Second St, Winslow, AZ 86047 Phone: 928-289-6093 Fax: 928-289-6787 | |
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 |