Organization
DHHS IHS PHOENIX AREA
Active
Other names
San Carlos Indian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLA J. BEN (CEO)
(928) 475-7347
Entity
Organization
Contact information
Practice address
223 CIBECUE CIRCLE ROAD, SAN CARLOS, AZ 85550-0208
(928) 475-7285
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-7285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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