Organization
WHITERIVER SERVICE UNIT - IHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARTINEZ (CEO)
(928) 338-4911
Entity
Organization
Contact information
Practice address
200 WEST HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-4911
Mailing address
PO BOX 927, WHITERIVER, AZ 85941-0927
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
643341
TX
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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