NPI | 1487022950 |
---|---|
Doing Business As | RIVER HEALTH CLINIC |
Doing Business As | LA PAZ HEALTHCARE KOFA CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN BROWN CEO 928-669-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ HO138) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AZ HO138) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2021-01-13 |