| Petrified Forest Medical Center. Inc. | |
|
500 E Iowa St Holbrook AZ 86025-2750 | |
| (928) 524-3913 | |
| Not Available |
| Full Name | Petrified Forest Medical Center. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 E Iowa St, Holbrook, Arizona |
| Authorized Official Name and Position | Andrew L Maestas (OWNER) |
| Authorized Official Contact | 9285243913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Petrified Forest Medical Center. Inc. 500 E Iowa St Holbrook AZ 86025-2750 Ph: (928) 524-3913 | Petrified Forest Medical Center. Inc. 500 E Iowa St Holbrook AZ 86025-2750 Ph: (928) 524-3913 |
| NPI Number | 1821289968 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 5294987301 |
|---|---|
| Medicare Enrollment ID | O20121218000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821289968 | NPI | - | NPPES |
| 149585 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21878 (Arizona) | Primary |
| Provider Name | Andrew L Maestas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659563773 PECOS PAC ID: 3173558350 Enrollment ID: I20050927001431 |
Petrified Forest Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Iowa St, Holbrook, AZ 86025 Phone: 928-524-3913 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2109 Navajo Blvd, Holbrook, AZ 86025 Phone: 928-524-2851 Fax: 928-524-2171 | |
Summit Healthcare Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Florida St, Holbrook, AZ 86025 Phone: 928-524-2020 Fax: 928-524-3755 |