| Coleman Health Llc | |
|
3123 N Spring Valley Rd #50146 Parks AZ 86018-0146 | |
| (307) 413-2050 | |
| Not Available |
| Full Name | Coleman Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3123 N Spring Valley Rd, Parks, Arizona |
| Authorized Official Name and Position | Anna L Schwartz (PRESIDENT) |
| Authorized Official Contact | 3074132050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Health Llc Po Box 50146 Parks AZ 86018-0146 Ph: (307) 413-2050 | Coleman Health Llc 3123 N Spring Valley Rd #50146 Parks AZ 86018-0146 Ph: (307) 413-2050 |
| NPI Number | 1376839597 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376839597 | NPI | - | NPPES |
| 1073656120 | Other | WY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 27354.1007 (Wyoming) | Secondary |