Organization
GILA RIVER HEALTH CARE CORPORATION DME
Active
Other names
DME Division
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN P. ELLORY (C.E.O.)
(602) 528-1431
Entity
Organization
Contact information
Practice address
483 WEST SEED FARM RD, GILA RIVER HEALTH CARE CORPORATION, SACATON, AZ 85247-0038
(888) 484-8526
(602) 528-1245
Mailing address
483 W. SEED FARM ROAD, P. O. BOX 38, SACATON, AZ 85247
(888) 484-8526
(602) 528-1245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-488076N
AZ
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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