Organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Active
Parent organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Other names
Mt Graham Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT GRAHAM REGIONAL MEDICAL CENTER INC
Authorized official
MRS. JILL DENICE HEINRICH RN, BSN (ADMINISTRATOR)
(928) 428-5668
Entity
Organization
Contact information
Practice address
1600 S. 20TH AVE., BLDG. E, SAFFORD, AZ 85546
(928) 428-5668
(928) 348-3868
Mailing address
1600 S. 20TH AVE., BLDG. E, SAFFORD, AZ 85546
(928) 428-5668
(928) 348-3868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D0886073
CLIA NUMBER
AZ
05
—
317786
—
AZ
01
—
HHA-210
ADHS NUMBER
AZ
Enumeration date
04/25/2006
Last updated
04/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us