Organization
SAN CARLOS APACHE TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERRILL WILLIAMS (DIRECTOR)
(928) 475-4221
Entity
Organization
Contact information
Practice address
BLD 15 SAN CARLOS AVENUE, SAN CARLOS, AZ 85550
(928) 475-4221
(928) 475-2885
Mailing address
PO BOX 0, HWY 70 MOONBASE ROAD, SAN CARLOS, AZ 85550-0000
(928) 475-2798
(928) 475-4009
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
AZ
Other
Enumeration date
12/20/2006
Last updated
02/02/2015
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