| Yuma County Public Health Services District | |
|
2200 W 28th St Yuma AZ 85364 | |
| (928) 317-4550 | |
| (928) 317-4591 |
| Full Name | Yuma County Public Health Services District |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 W 28th St, Yuma, Arizona |
| Authorized Official Name and Position | Diana Gomez (DIRECTOR) |
| Authorized Official Contact | 9283174550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yuma County Public Health Services District 2200 W 28th St Yuma AZ 85364 Ph: (928) 317-4550 | Yuma County Public Health Services District 2200 W 28th St Yuma AZ 85364 Ph: (928) 317-4550 |
| NPI Number | 1063503530 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/25/2013 |
| Medicare PECOS PAC ID | 4587649447 |
|---|---|
| Medicare Enrollment ID | O20040701000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063503530 | NPI | - | NPPES |
| 062894 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC 0285 (Arizona) | Primary |
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