SUMMIT HEALTHCARE MEDICAL ASSOCIATES; NPI #1740934678

Contact Information

SUMMIT HEALTHCARE MEDICAL ASSOCIATES

1401 W FLORIDA ST
HOLBROOK, AZ 86025-2218

Phone: 928-524-2020
Fax: 928-524-3755
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for SUMMIT HEALTHCARE MEDICAL ASSOCIATES

NPI #	`1740934678`
LBN Legal business name	SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Authorized official	KENNETH ALLEN - (CHIEF PRACTICE OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	02/09/2022
Last updated	02/09/2022 - About 4 years ago
Identifiers	n/a

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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