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Organization

SAN CARLOS APACHE HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE J CHEE (DIRECTOR PATIENT FINANCIAL SERVICES)
(928) 475-1290
Entity
Organization

Contact information

Practice address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1400
(928) 475-7371
Mailing address
PO BOX 787, PERIDOT, AZ 85542-0787
(928) 475-1290
(928) 475-7371

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
059898
AZ
05
099458
AZ
Enumeration date
05/01/2018
Last updated
05/01/2018
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