Organization
CREEK VALLEY HEALTH CLINIC
Active
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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