Organization
SAN CARLOS APACHE HEALTHCARE CORPORATION
Active
Parent organization
SAN CARLOS APACHE HEALTHCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN CARLOS APACHE HEALTHCARE CORPORATION
Authorized official
VICTORIA BEGAN (INTERIM CEO)
(928) 475-1200
Entity
Organization
Contact information
Practice address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1200
Mailing address
PO BOX 787, PERIDOT, AZ 85542-0787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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