| Summit Healthcare Medical Associates | |
| 
					606 N Main St Eagar AZ 85925-9813  | |
| (928) 333-5333 | |
| (928) 333-5100 | 
| Full Name | Summit Healthcare Medical Associates | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 606 N Main St, Eagar, Arizona | 
| Authorized Official Name and Position | Kenneth Robert Allen (CHIEF PRACTICE OFFICER) | 
| Authorized Official Contact | 9285374375 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Summit Healthcare Medical Associates 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-6393  | Summit Healthcare Medical Associates 606 N Main St Eagar AZ 85925-9813 Ph: (928) 333-5333  | 
| NPI Number | 1063166999 | 
|---|---|
| Provider Enumeration Date | 02/09/2022 | 
| Last Update Date | 02/09/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063166999 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Scott R Hamblin Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 N Main St, Eagar, AZ 85925 Phone: 928-333-5333 Fax: 928-333-5100  |