Organization
WINSLOW MEMORIAL HOSPITAL INC
Active
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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