| St. Michaels Clinic | |
|
359-a West Highway 264 St Michaels AZ 86511-0370 | |
| (928) 810-3800 | |
| (928) 810-3811 |
| Full Name | St. Michaels Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 359-a West Highway 264, St Michaels, Arizona |
| Authorized Official Name and Position | Denikka Sue Tsosie (REVENUE CYCLE SPECIALIST) |
| Authorized Official Contact | 9288103800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Michaels Clinic Po Box 370 St Michaels AZ 86511-0370 Ph: (928) 810-3800 | St. Michaels Clinic 359-a West Highway 264 St Michaels AZ 86511-0370 Ph: (928) 810-3800 |
| NPI Number | 1326147893 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326147893 | NPI | - | NPPES |
| 709248 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OTC2967 (Arizona) | Primary |