PONDEROSA FAMILY CARE, LLC; NPI #1992321723

Contact Information

PONDEROSA FAMILY CARE, LLC

127 E MAIN ST STE D
PAYSON, AZ 85541-5646

Phone: 928-468-8603
Fax: 928-468-8625
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 PONDEROSA FAMILY CARE, LLC

NPI #	`1992321723`
LBN Legal business name	PONDEROSA FAMILY CARE, LLC
Authorized official	ALAN MICHELS - (PHYSICIAN/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/17/2020
Last updated	06/17/2020 - About 6 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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PONDEROSA FAMILY CARE, LLC

Contact Information

Specialty

Rural Health

NPI Profile & details for PONDEROSA FAMILY CARE, LLC

Reviews for PONDEROSA FAMILY CARE, LLC