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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

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SAN CARLOS APACHE HEALTHCARE CORPORATION

NPI Number 1861875536
LBN Legal business name SAN CARLOS APACHE HEALTHCARE CORPORATION
Authorized official VICTORIA BEGAN - (INTERIM CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2015
Last updated 11/15/2016 - 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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