Organization
MATERNAL CHILD HEALTH PROGRAM
Active
Parent organization
SAN CARLOS APACHE TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN CARLOS APACHE TRIBE
Authorized official
MR. TERRY RAMBLER (TRIBAL CHAIRMAN)
(928) 475-2361
Entity
Organization
Contact information
Practice address
BULDING 15, SAN CARLOS AVE, SAN CARLOS, AZ 85550-9999
(928) 475-2798
Mailing address
P.O. BOX 0, BUILDING 15, SAN CARLOS AV, SAN CARLOS, AZ 85550-9999
(928) 475-2798
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/17/2013
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