NPI:
1730310046
Provider Name:
GREENLEE COUNTY
Other Name: GREENLEE HEALTH AND COUNTY SERVICES
Classification:
Clinic/Center - 261QP0905X
Entity Type:
Organization
Specialization: Public Health, State or Local
CLIA Number: 03D0667776
Address:
253 5TH STREET
CLIFTON, AZ
ZIP 85533
Phone:
(928) 865-2601
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GREENLEE COUNTY is a public health and state or local clinic center in Clifton, AZ. GREENLEE COUNTY NPI is 1730310046. The provider is registered as an organization entity type.
The provider Other Name Is Greenlee Health And County Services.
The provider's business location address is:
253 5TH STREET
CLIFTON, AZ
ZIP 85533-936
Phone: (928) 865-2601
Fax: (928) 865-1929
The provider's authorized official is Darren C Sanders .
The authorized official title is Deputy Director Health And County and has the following contact phone number (928) 865-2601.
The CLIA number assigned to this NPI record is 03D0667776 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2009 and was last updated on 8/4/2009.