Organization
WINSLOW MEMORIAL HOSPITAL INC
Active
Other names
Little Colorado Physicians Office
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS UDALL (CEO)
(928) 289-4691
Entity
Organization
Contact information
Practice address
200 LEE ST, WINSLOW, AZ 86047-2603
(928) 289-3396
(928) 289-2801
Mailing address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
(928) 289-0049
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
03-8507
AZ
Other
Enumeration date
05/15/2018
Last updated
02/21/2024
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