Organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Active
Parent organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Other names
MT GRAHAM HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT GRAHAM REGIONAL MEDICAL CENTER INC
Authorized official
MRS. JILL DENICE HEINRICH RN,BSN (ADMINISTRATOR)
(928) 428-5668
Entity
Organization
Contact information
Practice address
1600 S 20TH AVE BLDG E, SAFFORD, AZ 85546-4011
(928) 428-5668
(928) 348-3868
Mailing address
1600 S 20TH AVE BLDG E, SAFFORD, AZ 85546-4011
(928) 348-5668
(928) 348-3868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317786
—
AZ
Enumeration date
05/01/2012
Last updated
05/03/2012
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