| Family Health Center Of Sierra Vista, Pc | |
|
1800 E Wilcox Dr Sierra Vista AZ 85635-2756 | |
| (520) 459-3116 | |
| (520) 459-7397 |
| Full Name | Family Health Center Of Sierra Vista, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 E Wilcox Dr, Sierra Vista, Arizona |
| Authorized Official Name and Position | Ralph E Mayberry (PRESIDENT) |
| Authorized Official Contact | 5204593116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Sierra Vista, Pc 1800 E Wilcox Dr Sierra Vista AZ 85635-2756 Ph: (520) 459-3116 | Family Health Center Of Sierra Vista, Pc 1800 E Wilcox Dr Sierra Vista AZ 85635-2756 Ph: (520) 459-3116 |
| NPI Number | 1558563114 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558563114 | NPI | - | NPPES |
| A002 | Other | AZ | TRICARE WPS |
| HEALTHNET | Other | AZ | 1Z4100 |
| CH7902 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16890 (Arizona) | Primary |
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