Supai Health Center | |
1 Main St Supai AZ 86435-0129 | |
(928) 448-2641 | |
Not Available |
Full Name | Supai Health Center |
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Speciality | Clinic/center |
Location | 1 Main St, Supai, Arizona |
Authorized Official Name and Position | Lisa R Chamberlain (PATIENT BUSINESS OFFICE) |
Authorized Official Contact | 9287692918 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Supai Health Center Po Box 129 Supai AZ 86435-0129 Ph: (928) 448-2641 | Supai Health Center 1 Main St Supai AZ 86435-0129 Ph: (928) 448-2641 |
NPI Number | 1184901829 |
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Provider Enumeration Date | 11/09/2011 |
Last Update Date | 12/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184901829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |