Organization
WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC
Active
Parent organization
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER
Authorized official
TRACY NELSON RN-BC (CLINIC MANAGER)
(928) 333-7173
Entity
Organization
Contact information
Practice address
114 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-7173
(928) 333-7157
Mailing address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-7173
(928) 333-7157
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H2530
AZ
Other
Enumeration date
05/11/2017
Last updated
05/03/2022
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