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Organization
SOUTHWESTERN MEDICAL CENTERS AZ
Active
Organization
SOUTHWESTERN MEDICAL CENTERS AZ
Active
Other names
Meadow Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
STAN STUDER JR. (PRESIDENT)
(210) 828-5686
Entity
Organization
Contact information
Practice address
864 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9667
(928) 771-9620
Mailing address
864 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041088
—
AZ
Enumeration date
10/19/2006
Last updated
07/26/2007
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