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Organization
DHHS IHS PHOENIX AREA
Active
Organization
DHHS IHS PHOENIX AREA
Active
Other names
San Carlos Indian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLA J. BEN (CEO)
(928) 475-7347
Entity
Organization
Contact information
Practice address
223 CIBECUE CIRCLE ROAD, SAN CARLOS, AZ 85550-0208
(928) 475-7285
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-7285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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