| Northern Apache County Special Health Care District | |
|
359 West Highway 264 Suite A Saint Michaels AZ 86511 | |
| (928) 810-3800 | |
| (928) 810-3801 |
| Full Name | Northern Apache County Special Health Care District |
|---|---|
| Speciality | Family Medicine |
| Location | 359 West Highway 264, Saint Michaels, Arizona |
| Authorized Official Name and Position | Dawn Martinez (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9288103814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Apache County Special Health Care District Po Box 370 Saint Michaels AZ 86511-0370 Ph: (928) 810-3814 | Northern Apache County Special Health Care District 359 West Highway 264 Suite A Saint Michaels AZ 86511 Ph: (928) 810-3800 |
| NPI Number | 1679757819 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679757819 | NPI | - | NPPES |
| 709248 | Medicaid | AZ | |
| 68357303 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC2967 (Arizona) | Primary |