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Organization
PAYSON UNITED MEDICAL INVESTORS
Active
Organization
PAYSON UNITED MEDICAL INVESTORS
Active
Other names
Payson Care Center Outpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
107 E LONE PINE DR, PAYSON, AZ 85541-5558
(928) 474-6896
(928) 474-6997
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC 3939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0294750
BCBS
—
01
—
AZ0294780
BCBS
—
Enumeration date
04/03/2009
Last updated
04/03/2009
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