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Organization

SACRED PEAKS HEALTH CENTER DME

Active
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Other names
Sacred Peaks Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official
LYNETTE BONAR (CHIEF EXECUTIVE OFFICER)
(928) 283-2944
Entity
Organization

Contact information

Practice address
6300 N HIGHWAY 89, FLAGSTAFF, AZ 86004
(928) 863-7333
(928) 525-0047
Mailing address
PO BOX 600, 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/20/2013
Last updated
09/10/2019
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