| Organization Name: | SUMMIT HEALTHCARE ASSOCIATION |
| NPI Number: | 1770700767 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH R ALLEN (COO) |
| Mailing Address: | 2931 S Highway 260 Overgaard |
| State: | AZ US |
| Postal Code: | 85933 |
| Phone Number: | 9285353616 |
| Fax Number: | 9285353615 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | H0132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |