is a Rural Health in Mohave Valley, Arizona. practices all healthcare services and medical treatments related to Rural Health. The NPI Number for is 1306897962. The last update date is .
's current location address is 1607 Plantation Rd, Mohave Valley, Arizona. You can contact this provider via phone number 9283464679 and fax number 9283464686. The mailing address for is 1607 Plantation Rd, Mohave Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1607 Plantation Rd, Mohave Valley, Arizona |
| Phone Number | 9283464679 |
| Fax Number | 9283464686 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306897962 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1607 Plantation Rd |
|---|---|
| City | Mohave Valley |
| State | Arizona (AZ) |
| Post Code | 864409686 |
| Phone Number | 9283464679 |
| Fax Number | 9283464686 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EAP00010F | CA | EAPC | |
| 500888779 | CLIA | ||
| 890211 | AZ | -- |
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