Organization
CREEK VALLEY HEALTH CLINIC
Active
Other names
Creek Valley Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER ADAMS (CEO)
(435) 900-1104
Entity
Organization
Contact information
Practice address
20 S COLVIN STREET # 0418, COLORADO CITY, AZ 86021-0418
(435) 900-1104
Mailing address
PO BOX 418, COLORADO CITY, AZ 86021-0418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1929464
STATE ENTITY ID - ARIZONA CORPORATION COMMISSION
AZ
Enumeration date
04/26/2019
Last updated
05/03/2024
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