An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access Hospital |
261QC0050X | |||
Health Service |
261QH0100X |
| NPI Number | 1205135969 |
| LBN Legal business name | EAST VALLEY CRITICAL CARE ASSOCIATES, P.C. |
| Authorized official | RICHARD BASS - (PRACTICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/21/2011 |
| Last updated | 03/21/2011 - About 15 years ago |
| Identifiers | n/a |
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