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Organization

FORT MCDOWELL YAVAPAI NATION

Active
Parent organization
FORT MCDOWELL YAVAPAI NATION
Other names
Wassaja Memorial Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORT MCDOWELL YAVAPAI NATION
Authorized official
DEMETRA BARR REYNOLDS MD (MEDICAL HEALTH DIRECTOR)
(480) 816-7199
Entity
Organization

Contact information

Practice address
16240 NORTH FORT MCDOWELL, FORT MCDOWELL, AZ 85264-3402
(480) 789-7890
(480) 789-7894
Mailing address
PO BOX 17779, FOUNTAIN HILLS, AZ 85269-7779
(480) 789-7890
(480) 789-7894

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/19/2006
Last updated
05/05/2017
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