Organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Active
Other names
Community Hospital Clinic - Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TAVARY (CEO)
(928) 684-5421
Entity
Organization
Contact information
Practice address
521 ROSE LANE, WICKENBURG, AZ 85390
(928) 668-5506
Mailing address
523 ROSE LN, WICKENBURG, AZ 85390-1448
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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