Phc-Fort Mohave INC
NPI #1225205065 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1225205065
- Entity Type
- Organization
- Organization Name
- Phc-Fort Mohave INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHC-FORT MOHAVE INC
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- May 12, 2008
- Last Updated
- Sep 12, 2008
Practice Location
- Address
- 5330 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9225
- Phone
- (928) 788-7845
Authorized Official
- Name
- MR. WILLIAM M. GRACEY
- Title
- CFO
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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