| Summit Healthcare Association | |
|
2200 E Show Low Lake Rd Show Low AZ 85901-7831 | |
| (928) 537-6393 | |
| (928) 532-2131 |
| Full Name | Summit Healthcare Association |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Authorized Official Name and Position | Jill Bluse (HEALTH PLAN CREDENTIALING COORDINAT) |
| Authorized Official Contact | 9285376393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Healthcare Association 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-6393 | Summit Healthcare Association 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-6393 |
| NPI Number | 1477104552 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 3779568647 |
|---|---|
| Medicare Enrollment ID | O20191113002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477104552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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