| Lake Powell Medical Center | |
|
467 Vista Avenue Page AZ 86040-1625 | |
| (928) 645-8123 | |
| (928) 645-3862 |
| Full Name | Lake Powell Medical Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 467 Vista Avenue, Page, Arizona |
| Authorized Official Name and Position | Christopher J Hansen (CEO) |
| Authorized Official Contact | 9286459675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Powell Medical Center Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Lake Powell Medical Center 467 Vista Avenue Page AZ 86040-1625 Ph: (928) 645-8123 |
| NPI Number | 1619945904 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619945904 | NPI | - | NPPES |
| 432857 | Medicaid | AZ |
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