DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI 1962949008

NPI Information

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is a public health or welfare in Gila Bend, AZ. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI is 1962949008. The provider is registered as an organization entity type.
The provider Is Doing Business As San Lucy Clinic.

The provider's business location address is:

1216 N. 307TH AVENUE
SAN LUCY CLINIC
GILA BEND, AZ
ZIP 85337
Phone: (928) 683-2913
Fax: (928) 683-2008

The provider's authorized official is Deanna J. Dick .
The authorized official title is (ceo) Chief Executive Officer and has the following contact phone number (602) 263-1567.

The enumeration date for this NPI number is 1/27/2017 and was last updated on 6/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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