| Pine Strawberry Medical Center | |
|
6152 Hardscrabble Road Pine AZ 85544 | |
| (928) 476-3258 | |
| (928) 476-3186 |
| Full Name | Pine Strawberry Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6152 Hardscrabble Road, Pine, Arizona |
| Authorized Official Name and Position | Lisa Marie York (PHYSICIAN) |
| Authorized Official Contact | 9284763258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Strawberry Medical Center Po Box 409 Pine AZ 85544-0409 Ph: (928) 476-3258 | Pine Strawberry Medical Center 6152 Hardscrabble Road Pine AZ 85544 Ph: (928) 476-3258 |
| NPI Number | 1710170642 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710170642 | NPI | - | NPPES |
| 391186 | Medicaid | AZ | |
| AZ0740060 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 1Z9017 | Other | AZ | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24012 (Arizona) | Primary |
Banner Payson Medical Center - Banner Health Clinic Pine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6152 W Hardscrabble Mesa Rd, Pine, AZ 85544 Phone: 928-596-4848 |