Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1508010471 |
| LBN Legal business name | RCHP-SIERRA VISTA INC |
| Authorized official | STEPHEN PAGE - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/05/2008 |
| Last updated | 11/19/2013 - About 13 years ago |
| Identifiers | n/a |
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