# SAN CARLOS APACHE HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265813075
- **Authorized official:** VICTORIA BEGAN (CEO)
- **Authorized official phone:** (928) 475-1208

## Contact information

- **Practice address:** 103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
- **Practice address phone:** (928) 475-1200
- **Mailing address:** PO BOX 787, PERIDOT, AZ 85542-0787
- **Mailing address phone:** (928) 475-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2015
- **Last updated:** 12/18/2024