| NPI | 1225274210 |
|---|---|
| Doing Business As | COMMUNITY HOSPITAL CLINIC - WICKENBURG |
| Entity Type | Organization |
| Authorized Contact | JAMES TAVARY CEO 928-684-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ OTC4928) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: AZ RGH3505) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2019-04-29 |