| Summit Healthcare Medical Associates | |
|
590 S Main St Snowflake AZ 85937-5228 | |
| (928) 536-7591 | |
| (928) 536-7305 |
| Full Name | Summit Healthcare Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 590 S Main St, Snowflake, 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 590 S Main St Snowflake AZ 85937-5228 Ph: (928) 536-7591 |
| NPI Number | 1134873060 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Medicare PECOS PAC ID | 8729205737 |
|---|---|
| Medicare Enrollment ID | O20220809002955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134873060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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