| Heidi Young-blackgoat, CNM | |
|
167 Main St, Tuba City, AZ 86045 | |
| (866) 976-5941 | |
| Not Available |
| Full Name | Heidi Young-blackgoat |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 167 Main St, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851966188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (Arizona) | Primary |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Young-blackgoat, CNM 2483 W Rock Island Ave, Flagstaff, AZ 86001-2550 Ph: (928) 814-7892 | Heidi Young-blackgoat, CNM 167 Main St, Tuba City, AZ 86045 Ph: (866) 976-5941 |
Nikki Skrinak, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Nancy S Whitson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Ms. Jessica Dene Wallace, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Linda Higgins, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 167 N Main Street, Tuba City, AZ 86045 Phone: 928-283-2441 |