| Peach Springs Indian Health Center | |
|
943 Hualapai Way Peach Springs AZ 86434-0190 | |
| (928) 769-2900 | |
| Not Available |
| Full Name | Peach Springs Indian Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 943 Hualapai Way, Peach Springs, Arizona |
| Authorized Official Name and Position | Randi Lynn Wood (CLINICAL NURSE) |
| Authorized Official Contact | 9286998879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Springs Indian Health Center 943 Hualapai Way Peach Springs AZ 86434-0190 Ph: () - | Peach Springs Indian Health Center 943 Hualapai Way Peach Springs AZ 86434-0190 Ph: (928) 769-2900 |
| NPI Number | 1023378825 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023378825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | RN167054 (Arizona) | Primary |
Dhhs Ihs Phoenix Area Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 943 Hualapai Way, Peach Springs, AZ 86434 Phone: 928-769-2900 Fax: 928-769-2701 |