| Little Colorado Medical Center | |
|
1501 Williamson Ave Winslow AZ 86047-2735 | |
| (928) 289-4691 | |
| (928) 289-3855 |
| Full Name | Little Colorado Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1501 Williamson Ave, 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 Medical Center 1501 Williamson Ave Winslow AZ 86047-2735 Ph: (928) 289-4691 | Little Colorado Medical Center 1501 Williamson Ave Winslow AZ 86047-2735 Ph: (928) 289-4691 |
| NPI Number | 1477653889 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 8628988409 |
|---|---|
| Medicare Enrollment ID | O20040224001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477653889 | NPI | - | NPPES |
| 176132 | Medicaid | AZ | |
| 020389 | Medicaid | AZ |
| Provider Name | Thomas E Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205805090 PECOS PAC ID: 4789586801 Enrollment ID: I20040121000222 |
| Provider Name | Robert A Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417926874 PECOS PAC ID: 9133107444 Enrollment ID: I20040713000353 |
| Provider Name | Mandeep M Sahani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811080633 PECOS PAC ID: 9739150517 Enrollment ID: I20040804001219 |
| Provider Name | Bich Hoa Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891723169 PECOS PAC ID: 7719954247 Enrollment ID: I20040917000993 |
| Provider Name | Lydia G Ehlenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700846631 PECOS PAC ID: 0446210629 Enrollment ID: I20041012001326 |
| Provider Name | Christine B Villarino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114991007 PECOS PAC ID: 3577521400 Enrollment ID: I20041223000323 |
| Provider Name | Melissa H Maslar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144256884 PECOS PAC ID: 9638103898 Enrollment ID: I20050927000254 |
| Provider Name | William K Kvien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235148784 PECOS PAC ID: 4789602905 Enrollment ID: I20051107000410 |
| Provider Name | Arvind Durvasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417038548 PECOS PAC ID: 9436157559 Enrollment ID: I20061127000244 |
| Provider Name | Lola K Sue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437289311 PECOS PAC ID: 8921061979 Enrollment ID: I20080429000653 |
| Provider Name | Randall J Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124015722 PECOS PAC ID: 0042101032 Enrollment ID: I20090728000185 |
| Provider Name | Andrew J Aldridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497724017 PECOS PAC ID: 6305039132 Enrollment ID: I20101025000679 |
| Provider Name | Daniel E Wesche |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013985191 PECOS PAC ID: 0547455727 Enrollment ID: I20101112001145 |
| Provider Name | Joseph M Hartnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588787030 PECOS PAC ID: 8123201399 Enrollment ID: I20110324001030 |
| Provider Name | James Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013173012 PECOS PAC ID: 6002099728 Enrollment ID: I20120420000545 |
| Provider Name | Steve Heilbrunn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700889425 PECOS PAC ID: 3476534843 Enrollment ID: I20130108000119 |
| Provider Name | Brian A Bucina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902010549 PECOS PAC ID: 3779751789 Enrollment ID: I20130524000604 |
| Provider Name | John S Condojani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497761555 PECOS PAC ID: 2668463860 Enrollment ID: I20150716001976 |
| Provider Name | Sarah E Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376854588 PECOS PAC ID: 1355515230 Enrollment ID: I20150903001561 |
| Provider Name | David M Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336169689 PECOS PAC ID: 9537103700 Enrollment ID: I20150916002173 |
| Provider Name | Andrew J Cassidy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851372676 PECOS PAC ID: 2062419278 Enrollment ID: I20151023002355 |
| Provider Name | Datcha T Dorvil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043470065 PECOS PAC ID: 4486891561 Enrollment ID: I20151222001796 |
| Provider Name | Rebecca H Robarge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720349244 PECOS PAC ID: 1850607508 Enrollment ID: I20151228000669 |
| Provider Name | Bethany A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982048856 PECOS PAC ID: 2668615998 Enrollment ID: I20160728000941 |
| Provider Name | Charlene Y Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184061954 PECOS PAC ID: 7315235256 Enrollment ID: I20170224000302 |
| Provider Name | Jesse A Gesten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548646151 PECOS PAC ID: 4688982028 Enrollment ID: I20170815002819 |
| Provider Name | Nicholas Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013436310 PECOS PAC ID: 4789959149 Enrollment ID: I20171011000915 |
| Provider Name | Keith A Goss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700860715 PECOS PAC ID: 3779540521 Enrollment ID: I20180208001527 |
| Provider Name | Sage J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285046227 PECOS PAC ID: 4789993288 Enrollment ID: I20180219001205 |
| Provider Name | Joseph S Denhalter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528559143 PECOS PAC ID: 2668720749 Enrollment ID: I20180806002638 |
| Provider Name | Michelle Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619363843 PECOS PAC ID: 3274875059 Enrollment ID: I20190815001408 |
| Provider Name | Daniel K Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760543078 PECOS PAC ID: 4587672621 Enrollment ID: I20190826000614 |
| Provider Name | Evan R Pulvers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730561184 PECOS PAC ID: 3577807106 Enrollment ID: I20200407001641 |
| Provider Name | Christina Sword |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942965033 PECOS PAC ID: 8325438989 Enrollment ID: I20211214002038 |
| Provider Name | Kelsey R Heinrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154826196 PECOS PAC ID: 3678838653 Enrollment ID: I20220111001700 |
| Provider Name | Kathleen A Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942737978 PECOS PAC ID: 1850783176 Enrollment ID: I20220720001724 |
| Provider Name | Alisa M Vroman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689804205 PECOS PAC ID: 0244385961 Enrollment ID: I20230110000332 |
| Provider Name | Dale Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205553245 PECOS PAC ID: 8426062993 Enrollment ID: I20230117001993 |
| Provider Name | Jessica L Fugatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164107462 PECOS PAC ID: 5698138907 Enrollment ID: I20230901002183 |
| Provider Name | Justin Mcelfresh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285404384 PECOS PAC ID: 9133562671 Enrollment ID: I20240212002369 |
Little Colorado Physicians Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801 | |
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 |