Phc-Fort Mohave INC
NPI #1649766981 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1649766981
- Entity Type
- Organization
- Organization Name
- Phc-Fort Mohave INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHC-FORT MOHAVE INC
- Primary Specialty
- Medicare Defined Swing Bed Unit
- Enumeration Date
- Jul 10, 2018
- Last Updated
- Jul 10, 2018
Practice Location
- Address
- 5330 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9225
- Phone
- (928) 788-2773
Authorized Official
- Name
- ROBERT N. KLEIN
- Title
- PRESIDENT
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medicare Defined Swing Bed Unit |
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