Gila River Health Care Corporation in Laveen - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Gila River Health Care Corporation - NPI 1144359852
Gila River Health Care Corporation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Laveen, Arizona. Gila River Health Care Corporation practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Gila River Health Care Corporation is 1144359852. The last update date is 2017-04-28.
Gila River Health Care Corporation's current location address is 17487 S Healthcare Dr, Laveen, Arizona. You can contact this provider via phone number 5205506022 and fax number 5205506028. The mailing address for Gila River Health Care Corporation is 17487 S Healthcare Dr, Laveen, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gila River Health Care Corporation |
|---|---|
| Address | 17487 S Healthcare Dr, Laveen, Arizona |
| Phone Number | 5205506022 |
| Fax Number | 5205506028 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | Croll Larry |
| Credentials | PHARMD |
| Telephone Number | 6025281200 |
NPI Number Detail
| NPI Number | 1144359852 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2017-04-28 |
Provider Mailing Address Detail
| Address | 17487 S Healthcare Dr |
|---|---|
| City | Laveen |
| State | Arizona (AZ) |
| Post Code | 853398500 |
| Phone Number | 5205506022 |
| Fax Number | 5205506028 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1991256 | PK | ||
| AHCCCS334582 | AZ | -- |
Post Comment/ Review Below
What is the Gila River Health Care Corporation's 1144359852?
The Gila River Health Care Corporation's NPI (National Provider Identifier) Number is 1144359852. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gila River Health Care Corporation is located?
The Gila River Health Care Corporation is situated at the following address: 17487 S Healthcare Dr, Laveen, AZ, 853398500.
What is Gila River Health Care Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gila River Health Care Corporation's area of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 332800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144359852 to Gila River Health Care Corporation?
The Gila River Health Care Corporation received its 1144359852 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Gila River Health Care Corporation's details last updated?
The information pertaining to the Gila River Health Care Corporation, including its address, specialty, and other details, was most recently updated on 2017-04-28.
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