| San Carlos Apache Healthcare Corporation | |
|
103 Medicine Way Road Peridot AZ 85542 | |
| (928) 475-1200 | |
| Not Available |
| Full Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Medicine Way Road, Peridot, Arizona |
| Authorized Official Name and Position | Victoria Began (INTERIM CEO) |
| Authorized Official Contact | 9284751200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Carlos Apache Healthcare Corporation Po Box 787 Peridot AZ 85542-0787 Ph: () - | San Carlos Apache Healthcare Corporation 103 Medicine Way Road Peridot AZ 85542 Ph: (928) 475-1200 |
| NPI Number | 1356790059 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356790059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |