| NPI | 1619945904 |
|---|---|
| Doing Business As | LAKE POWELL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J HANSEN CEO 928-645-9675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ OTC 0127) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-09-23 |