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SUMMIT HEALTHCARE ASSOCIATION NPI 1710143607


NPI Information

NPI: 1710143607
Provider Name: SUMMIT HEALTHCARE ASSOCIATION

Doing Business As: SUMMIT HEALTHCARE SPECIALTY PHYSICIANS

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-6399
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SUMMIT HEALTHCARE ASSOCIATION is a general acute care hospital in Show Low, AZ. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SUMMIT HEALTHCARE ASSOCIATION NPI is 1710143607. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Summit Healthcare Specialty Physicians.

The provider's business location address is:

2200 E SHOW LOW LAKE RD
SHOW LOW, AZ
ZIP 85901-831
Phone: (928) 537-6399
Fax: (928) 537-8839

The provider's authorized official is Kenneth Robert Allen .
The authorized official title is Cco and has the following contact phone number (928) 537-6399.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyH0132ARIZONANo
2207RH0003XInternal MedicineHematology & OncologyH0132ARIZONANo
3207RX0202XInternal MedicineMedical OncologyH0132ARIZONANo
42085R0001XRadiologyRadiation OncologyH0132ARIZONANo
5208VP0000XPain MedicinePain MedicineH0132ARIZONANo
6282N00000XGeneral Acute Care HospitalH0132ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020016MEDICAIDARIZONA
2030062MEDICARE OSCAR/CERTIFICATIONARIZONA

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

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