| Eric Healthcare | |
|
5448 Highway 260 Ste 100 Lakeside AZ 85929-5736 | |
| (928) 358-1862 | |
| (928) 537-2049 |
| Full Name | Eric Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 5448 Highway 260 Ste 100, Lakeside, Arizona |
| Authorized Official Name and Position | Hal Thomas Richins (OWNER/OPERATOR) |
| Authorized Official Contact | 2089930113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Healthcare Po Box 112 Eagar AZ 85925-0112 Ph: (208) 993-0113 | Eric Healthcare 5448 Highway 260 Ste 100 Lakeside AZ 85929-5736 Ph: (928) 358-1862 |
| NPI Number | 1407638612 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 4284086240 |
|---|---|
| Medicare Enrollment ID | O20240116002259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407638612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hal Richins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720437601 PECOS PAC ID: 8022376474 Enrollment ID: I20220818001954 |
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