San Carlos Apache Tribe | |
1 Mohave Ave San Carlos AZ 85550 | |
(928) 475-5924 | |
Not Available |
Full Name | San Carlos Apache Tribe |
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Speciality | Clinic/center |
Location | 1 Mohave Ave, San Carlos, Arizona |
Authorized Official Name and Position | Wendsler Nosie (TRIBAL CHAIRMAN) |
Authorized Official Contact | 9284752361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Carlos Apache Tribe P.o. Box 0 San Carlos AZ 85550 Ph: (928) 475-2361 | San Carlos Apache Tribe 1 Mohave Ave San Carlos AZ 85550 Ph: (928) 475-5924 |
NPI Number | 1710055405 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 11/17/2009 |
Identifier | Type | State | Issuer |
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1710055405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Maternal Child Health Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Bulding 15, San Carlos Ave, San Carlos, AZ 85550 Phone: 928-475-2798 |