| Gila Valley Clinic, Pc | |
|
1680 S 20th Ave Safford AZ 85546-4011 | |
| (928) 428-1377 | |
| (928) 348-8570 |
| Full Name | Gila Valley Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1680 S 20th Ave, Safford, Arizona |
| Authorized Official Name and Position | Susan Jones (OWNER) |
| Authorized Official Contact | 9284281377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gila Valley Clinic, Pc 1680 S 20th Ave Safford AZ 85546-4011 Ph: (928) 428-1377 | Gila Valley Clinic, Pc 1680 S 20th Ave Safford AZ 85546-4011 Ph: (928) 428-1377 |
| NPI Number | 1255510228 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 09/20/2011 |
| Medicare PECOS PAC ID | 4981680683 |
|---|---|
| Medicare Enrollment ID | O20040624001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510228 | NPI | - | NPPES |
| 121963 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gail Del Carmen Guerrero Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972537298 PECOS PAC ID: 8628013570 Enrollment ID: I20050722000820 |
| Provider Name | Catherine H Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205854304 PECOS PAC ID: 6507934437 Enrollment ID: I20081006000379 |
| Provider Name | Susan J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114945201 PECOS PAC ID: 5991868408 Enrollment ID: I20090109000381 |
| Provider Name | Shelley Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023383254 PECOS PAC ID: 6709003940 Enrollment ID: I20140811002546 |
| Provider Name | Tajma Flavia Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366890048 PECOS PAC ID: 1254625759 Enrollment ID: I20160805001475 |
| Provider Name | Todd Schwallier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922547710 PECOS PAC ID: 8628353554 Enrollment ID: I20170316000325 |
| Provider Name | Elisa Md Troyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568999605 PECOS PAC ID: 5496012809 Enrollment ID: I20200908003275 |
| Provider Name | Janelle Bao-jin Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417418450 PECOS PAC ID: 9335476324 Enrollment ID: I20220817000482 |
| Provider Name | Caroline Elizabeth Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336702513 PECOS PAC ID: 1355677626 Enrollment ID: I20230801000805 |
| Provider Name | Jamie C Biggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467131052 PECOS PAC ID: 6305209537 Enrollment ID: I20230905003964 |
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