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Contact Information

SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY ROAD
PERIDOT, AZ85542
 Phone: 928-475-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAN CARLOS APACHE HEALTHCARE CORPORATION

NPI # 1801245501
LBN Legal business name SAN CARLOS APACHE HEALTHCARE CORPORATION
Authorized official VICTORIA BEGAN - (INTERIM CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/03/2016
Last updated 06/03/2016 - About 10 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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