SUMMIT HEALTHCARE MEDICAL ASSOCIATES NPI 1962166934

NPI Information

NPI: 1962166934
Provider Name: SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 03D2175822

Address:
625 N 13TH W
SAINT JOHNS, AZ
ZIP 85936
Phone: (928) 337-3000
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SUMMIT HEALTHCARE MEDICAL ASSOCIATES is a rural health clinic center in Saint Johns, AZ. SUMMIT HEALTHCARE MEDICAL ASSOCIATES NPI is 1962166934. The provider is registered as an organization entity type.

The provider's business location address is:

625 N 13TH W
SAINT JOHNS, AZ
ZIP 85936-986
Phone: (928) 337-3000
Fax: (928) 532-3561

The provider's authorized official is Kenneth Robert Allen .
The authorized official title is Chief Practice Manager and has the following contact phone number (928) 537-4375.

The CLIA number assigned to this NPI record is 03D2175822 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.

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	261QR1300X	Clinic/Center	Rural Health			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: 4/28/2024

NPI Synchronization or Removal

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