| Dhhs Ihs Phoenix Area | |
|
North Cromwell Road Cibecue AZ 85911 | |
| (928) 332-2560 | |
| (928) 338-5508 |
| Full Name | Dhhs Ihs Phoenix Area |
|---|---|
| Speciality | Clinic/center |
| Location | North Cromwell Road, Cibecue, Arizona |
| Authorized Official Name and Position | Michelle Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9283384911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhhs Ihs Phoenix Area Po Box 860 Whiteriver AZ 85941-0860 Ph: (928) 338-5509 | Dhhs Ihs Phoenix Area North Cromwell Road Cibecue AZ 85911 Ph: (928) 332-2560 |
| NPI Number | 1427335181 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427335181 | NPI | - | NPPES |
| 020561 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |