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Contact Information

WHITERIVER SERVICE UNIT - IHS
200 WEST HOSPITAL DR
WHITERIVER, AZ85941
 Phone: 928-338-4911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for WHITERIVER SERVICE UNIT - IHS

NPI Number 1053685412
LBN Legal business name WHITERIVER SERVICE UNIT - IHS
Authorized official MICHELLE MARTINEZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Identifiers
TX License # 643341
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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