Organization
WINSLOW MEMORIAL HOSPITAL INC
Active
Other names
Little Colorado Physicians Office
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE FREET (CFO)
(928) 289-4691
Entity
Organization
Contact information
Practice address
200 E LEE ST, WINSLOW, AZ 86047-2735
(928) 289-3396
(928) 289-2801
Mailing address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
(928) 289-3855
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176132
—
AZ
05
—
256316
—
AZ
05
—
708894
—
AZ
05
—
976516
—
AZ
Enumeration date
06/30/2008
Last updated
02/19/2018
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