Organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH
Active
Parent organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other names
Gila Bend Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Authorized official
DR. LAURA TILLMAN MD (CHIEF MEDICAL OFFICER)
(602) 263-1674
Entity
Organization
Contact information
Practice address
100 NORTH GILA BOULVARD, GILA BEND, AZ 85337-2658
(602) 263-1200
(602) 263-1618
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6080
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812851
—
AZ
Enumeration date
07/27/2006
Last updated
01/26/2026
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