Maternal Child Health Program
NPI #1639519002 in San Carlos, Arizona
Provider Information
- NPI Number
- 1639519002
- Entity Type
- Organization
- Organization Name
- Maternal Child Health Program
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SAN CARLOS APACHE TRIBE
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 1, 2013
- Last Updated
- Jul 17, 2013
Practice Location
- Address
- BULDING 15, SAN CARLOS AVE
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550-9999
- Phone
- (928) 475-2798
Authorized Official
- Name
- MR. TERRY RAMBLER
- Title
- TRIBAL CHAIRMAN
- Phone
- (928) 475-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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