GILA CROSSING CLINIC PHCY NPI 1841206257

NPI Information

GILA CROSSING CLINIC PHCY is an indian health service tribal urban indian health i t u pharmacy in Laveen, AZ. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. GILA CROSSING CLINIC PHCY NPI is 1841206257. The provider is registered as an organization entity type.

The provider's business location address is:

9975 E BELTLINE RD
LAVEEN, AZ
ZIP 85339
Phone: (602) 528-1422
Fax: (602) 528-3363

The provider's authorized official is Loren Ellory .
The authorized official title is Ceo and has the following contact phone number (602) 528-1200.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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