| Rchp-sierra Vista Inc | |
|
1101 N San Antonio Ave Douglas AZ 85607-2419 | |
| (520) 417-3001 | |
| (520) 417-3297 |
| Full Name | Rchp-sierra Vista Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1101 N San Antonio Ave, Douglas, Arizona |
| Authorized Official Name and Position | Stephen L Page (VICE PRESIDENT) |
| Authorized Official Contact | 6158449849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rchp-sierra Vista Inc 300 El Camino Real Sierra Vista AZ 85635-2812 Ph: (520) 417-3001 | Rchp-sierra Vista Inc 1101 N San Antonio Ave Douglas AZ 85607-2419 Ph: (520) 417-3001 |
| NPI Number | 1285869883 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285869883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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