Organization
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Active
Parent organization
SUMMIT HEALTHCARE ASSOCIATION
Other names
Summit Healthcare Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT HEALTHCARE ASSOCIATION
Authorized official
KENNETH ROBERT ALLEN (CHIEF PRACTICE OFFICER)
(928) 537-4375
Entity
Organization
Contact information
Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7801
(289) 537-6700
(928) 532-2159
Mailing address
PO BOX 3050, SHOW LOW, AZ 85902-3050
(928) 537-6393
(928) 537-6725
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
12/09/2019
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