Organization Name: | SUMMIT HEALTHCARE ASSOCIATION |
NPI Number: | 1144209271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH R ALLEN (COO) |
Mailing Address: | 2200 E Show Low Lake Rd Show Low |
State: | AZ US |
Postal Code: | 859017881 |
Phone Number: | 9285374375 |
Fax Number: | 9285378839 |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | H0132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |