SAN CARLOS APACHE HEALTHCARE CORPORATION NPI 1417330713

NPI Information

SAN CARLOS APACHE HEALTHCARE CORPORATION is a clinic center in Bylas, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SAN CARLOS APACHE HEALTHCARE CORPORATION NPI is 1417330713. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarence Wesley Health Center.

The provider's business location address is:

101 MEDICINE ROAD
BYLAS, AZ
ZIP 85530
Phone: (928) 475-7142

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

The CLIA number assigned to this NPI record is 03D0531813 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/6/2015 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:

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