# ERIC HEALTHCARE

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

## Provider details

- **NPI number:** 1407638612
- **Authorized official:** DR. HAL THOMAS RICHINS JR. MD (OWNER/OPERATOR)
- **Authorized official phone:** (208) 993-0113

## Contact information

- **Practice address:** 5448 HIGHWAY 260 STE 100, LAKESIDE, AZ 85929-5736
- **Practice address phone:** (928) 358-1862
- **Practice address fax:** (928) 537-2049
- **Mailing address:** PO BOX 112, EAGAR, AZ 85925-0112
- **Mailing address phone:** (208) 993-0113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 10/23/2023