# SUMMIT HEALTHCARE ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT HEALTHCARE ASSOCIATION
- **Other names:** Summit Healthcare Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144209271
- **Legal business name:** SUMMIT HEALTHCARE ASSOCIATION
- **Authorized official:** WILLIAM GARDNER (CEO)
- **Authorized official phone:** (928) 537-6399

## Contact information

- **Practice address:** 2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
- **Practice address phone:** (928) 537-4375
- **Practice address fax:** (928) 537-8839
- **Mailing address:** 2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
- **Mailing address phone:** (928) 537-4375
- **Mailing address fax:** (928) 537-8839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | H0132 | AZ | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 09/29/2026