| Fredonia Medical Center, Inc | |
|
201 E Spring St Kingman AZ 86401-5844 | |
| (928) 715-4311 | |
| (928) 718-1986 |
| Full Name | Fredonia Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 E Spring St, Kingman, Arizona |
| Authorized Official Name and Position | Kirsten Mortenson (CEO) |
| Authorized Official Contact | 9287154311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredonia Medical Center, Inc 201 E Spring St Kingman AZ 86401-5844 Ph: (928) 715-4311 | Fredonia Medical Center, Inc 201 E Spring St Kingman AZ 86401-5844 Ph: (928) 715-4311 |
| NPI Number | 1629220504 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629220504 | NPI | - | NPPES |
| 1174517767 | Other | AZ | PERSONAL NPI NUMBER |
| F05227 | Other | AZ | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 08709408 (Arizona) | Primary |
J. Khan, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1739 E Beverly Ave, Suite 221, Kingman, AZ 86409 Phone: 928-681-8671 Fax: 928-681-8672 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-753-1177 Fax: 928-753-1178 | |
Vital Health & Wellness Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Western Ave, Kingman, AZ 86409 Phone: 928-757-8440 Fax: 928-757-8448 | |
Slimming Grace Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Johnson Ave Unit 3371, Kingman, AZ 86402 Phone: 928-279-5076 Fax: 949-695-3692 | |
Madix Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 N Stockton Hill Rd Ste 101, Kingman, AZ 86401 Phone: 928-377-1984 Fax: 928-377-1983 | |
S Ismail Bokhari, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 E Beverly Ave, Suite B, Kingman, AZ 86409 Phone: 928-757-1333 Fax: 928-757-2367 | |
Kamyab Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2002 N Stockton Hill Rd Ste 104, Kingman, AZ 86401 Phone: 928-692-1010 Fax: 928-692-7070 |