| 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 |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 8729205737 |
|---|---|
| Medicare Enrollment ID | O20220809003322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063166999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountain Avenue Clinic 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 |