SUMMIT HEALTHCARE MEDICAL ASSOCIATES NPI 1265188866

NPI Information

NPI: 1265188866
Provider Name: SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 03D2106881

Address:
1121 S MAIN ST
SNOWFLAKE, AZ
ZIP 85937
Phone: (928) 536-5858
Get Directions

SUMMIT HEALTHCARE MEDICAL ASSOCIATES is a rural health clinic center in Snowflake, AZ. SUMMIT HEALTHCARE MEDICAL ASSOCIATES NPI is 1265188866. The provider is registered as an organization entity type.

The provider's business location address is:

1121 S MAIN ST
SNOWFLAKE, AZ
ZIP 85937-645
Phone: (928) 536-5858
Fax: (928) 536-5843

The provider's authorized official is Kenneth Robert Allen .
The authorized official title is Chief Practice Officer and has the following contact phone number (928) 537-4375.

The CLIA number assigned to this NPI record is 03D2106881 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/23/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »