Organization
WHITE MOUNTAIN APACHE
Active
Parent organization
WHITE MOUNTAIN APACHE TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE MOUNTAIN APACHE TRIBE
Authorized official
EMMIE CROMWELL (DIRECTOR)
(928) 338-1808
Entity
Organization
Contact information
Practice address
522 SOUTH FOURTH AVENUE, WHITERIVER, AZ 85941
(928) 338-1808
(928) 338-5254
Mailing address
PO BOX 1210, WHITERIVER, AZ 85941-1210
(928) 338-1808
(928) 338-5252
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044701
—
AZ
Enumeration date
03/17/2008
Last updated
03/17/2008
Update your record
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