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Contact Information

CREEK VALLEY HEALTH CLINIC
20 S COLVIN STREET # 0418
COLORADO CITY, AZ86021-0418
 Phone: 435-900-1104
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dental

261QD0000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for CREEK VALLEY HEALTH CLINIC

NPI # 1821652793
LBN Legal business name CREEK VALLEY HEALTH CLINIC
Authorized official HUNTER ADAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2019
Last updated 05/03/2024 - About 2 years ago
Identifiers
AZ Other 1929464 STATE ENTITY ID - ARIZONA CORPORATION COMMISSION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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