| NPI | 1477104552 |
|---|---|
| Doing Business As | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JILL BLUSE Health Plan Credentialing Coordinat 928-537-6393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |