Organization
WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS
Active
Parent organization
WHITE MOUNTAIN COMMUNITIES HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE MOUNTAIN COMMUNITIES HOSPITAL INC
Authorized official
TRACY NELSON RN-BC (CLINIC MANAGER)
(928) 333-7173
Entity
Organization
Contact information
Practice address
110 EAST FIRST STREET SOUTH, ST. JOHNS, AZ 85936
(928) 333-7333
(928) 333-7157
Mailing address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-7333
(928) 333-7157
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC7868
AZ
Other
Enumeration date
07/10/2017
Last updated
05/06/2022
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