National Provider Identifier Database

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Rural Health


Contact Information

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ85933
Phone: 928-535-3616
Fax: 928-532-2156
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SUMMIT HEALTHCARE MEDICAL ASSOCIATES

NPI Number 1770700767
Legal business name
LBN
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Authorized official JILL BLUSE - (HEALTH PLAN CREDENTIALING COORDINAT)
Entity Organization
Organization subpart Yes
Enumeration date 04/19/2007
Last updated 08/11/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: H0132
  • AZ Medicaid: 950222

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SUMMIT HEALTHCARE MEDICAL ASSOCIATES

There are currently no reviews for SUMMIT HEALTHCARE MEDICAL ASSOCIATES


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