Organization
GREENLEE COUNTY
Active
Other names
Greenlee Health and County Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN C SANDERS (DEPUTY DIRECTOR HEALTH AND COUNTY)
(928) 865-2601
Entity
Organization
Contact information
Practice address
253 5TH STREET, CLIFTON, AZ 85533-0936
(928) 865-2601
(928) 865-1929
Mailing address
PO BOX 936, 253 5TH STREET, CLIFTON, AZ 85533-0936
(928) 865-2601
(928) 865-1929
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
OTC0267
AZ
261QP0905X
State or Local Public Health Clinic/Center
Primary
OTC0267
AZ
261QP2400X
Prison Health Clinic/Center
OTC0267
AZ
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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