Organization
PAYSON UNITED MEDICAL INVESTORS
Active
Other names
Payson Care Center Outpatient Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
107 E LONE PINE DR, PAYSON, AZ 85541-5558
(928) 474-6896
(928) 474-6997
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC 3939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0294750
BCBS
—
01
—
AZ0294780
BCBS
—
Enumeration date
04/03/2009
Last updated
04/03/2009
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