Organization
WINSLOW MEMORIAL HOSPITAL INC
Active
Other names
Little Colorado Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS UDALL (CEO)
(928) 289-4691
Entity
Organization
Contact information
Practice address
1501 WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
(928) 289-3855
Mailing address
1501 WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
(928) 289-3855
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
03-8507
AZ
282NC0060X
Critical Access Hospital
RGH0076
AZ
282NC0060X
Critical Access Hospital
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020389
—
AZ
05
—
176132
—
AZ
Enumeration date
09/25/2006
Last updated
03/28/2024
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