Organization
RCHP-SIERRA VISTA INC
Active
Other names
Douglas Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PAGE (VICE PRESIDENT)
(615) 844-9849
Entity
Organization
Contact information
Practice address
1101 N SAN ANTONIO AVE, DOUGLAS, AZ 85607-2419
(520) 417-3001
(520) 417-3297
Mailing address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 417-3001
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
11/19/2013
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