SAN CARLOS APACHE HEALTHCARE CORPORATION NPI 1265813075

NPI Information

NPI: 1265813075
Provider Name: SAN CARLOS APACHE HEALTHCARE CORPORATION
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
103 MEDICINE WAY ROAD
PERIDOT, AZ
ZIP 85542
Phone: (928) 475-1200
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SAN CARLOS APACHE HEALTHCARE CORPORATION is a rural general acute care hospital in Peridot, AZ. SAN CARLOS APACHE HEALTHCARE CORPORATION NPI is 1265813075. The provider is registered as an organization entity type.

The provider's business location address is:

103 MEDICINE WAY ROAD
PERIDOT, AZ
ZIP 85542
Phone: (928) 475-1200

The provider's authorized official is Victoria Began .
The authorized official title is Interim Ceo and has the following contact phone number (928) 475-1201.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 11/15/2016.

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	282NR1301X	General Acute Care Hospital	Rural			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: 11/14/2023

NPI Synchronization or Removal

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