| Maternal Child Health Program | |
|
Bulding 15, San Carlos Ave San Carlos AZ 85550-9999 | |
| (928) 475-2798 | |
| Not Available |
| Full Name | Maternal Child Health Program |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | Bulding 15, San Carlos Ave, San Carlos, Arizona |
| Authorized Official Name and Position | Terry Rambler (TRIBAL CHAIRMAN) |
| Authorized Official Contact | 9284752361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal Child Health Program P.o. Box 0 Building 15, San Carlos Av San Carlos AZ 85550-9999 Ph: (928) 475-2798 | Maternal Child Health Program Bulding 15, San Carlos Ave San Carlos AZ 85550-9999 Ph: (928) 475-2798 |
| NPI Number | 1639519002 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639519002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
San Carlos Apache Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mohave Ave, San Carlos, AZ 85550 Phone: 928-475-5924 |