# ARIZONA COMMUNITY HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1962689653
- **Authorized official:** EDWARD H KOWALESKI MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (928) 927-4226

## Contact information

- **Practice address:** 255 N CENTRAL BLVD, STE 4, QUARTZSITE, AZ 85346
- **Practice address phone:** (928) 927-4226
- **Practice address fax:** (928) 927-4231
- **Mailing address:** PO BOX 2659, QUARTZSITE, AZ 85346-2659
- **Mailing address phone:** (928) 927-4226
- **Mailing address fax:** (928) 927-4231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16098 | AZ | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 10/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 451839 | — | AZ |