Organization
GILA HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A FARRINGTON (ADMINISTRATOR)
(928) 865-7505
Entity
Organization
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-7505
(928) 865-7571
Mailing address
PO BOX 218, MORENCI, AZ 85540-0218
(928) 865-7505
(928) 865-7571
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
OTC 3507
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843088
—
AZ
Enumeration date
07/21/2008
Last updated
07/21/2008
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