| NPI | 1548709173 |
|---|---|
| Doing Business As | PAYSON OUTPATIENT SERVICE CENTER- 2 |
| Entity Type | Organization |
| Authorized Contact | JOHN HOEGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC7954) |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ OTC7954) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ OTC7954) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-02-14 |