GILA HEALTH RESOURCES NPI 1710142658

NPI Information

NPI: 1710142658
Provider Name: GILA HEALTH RESOURCES
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 03D1021750

Address:
401 BURRO ALY
MORENCI, AZ
ZIP 85540
Phone: (928) 865-7505
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GILA HEALTH RESOURCES is a radiology clinic center in Morenci, AZ. GILA HEALTH RESOURCES NPI is 1710142658. The provider is registered as an organization entity type.

The provider's business location address is:

401 BURRO ALY
MORENCI, AZ
ZIP 85540-647
Phone: (928) 865-7505
Fax: (928) 865-7571

The provider's authorized official is Sharon A Farrington .
The authorized official title is Administrator and has the following contact phone number (928) 865-7505.

The CLIA number assigned to this NPI record is 03D1021750 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.

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	261QR0200X	Clinic/Center	Radiology	OTC 3507	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78435	MEDICARE PIN
2	843088	MEDICAID	ARIZONA

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

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