Organization · Type 2 NPI

Summit Healthcare Medical Associates

Rural Health Clinic/Center · Eagar, AZ

NPI number 1063166999 Active

Practice location

606 N Main St
Eagar, AZ 85925-9813

Call (928) 333-5333 Map

Fax (928) 333-5100

Mailing address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1063166999
Entity type: Organization (Type 2)
Issued: Feb 9, 2022
Last updated: Feb 9, 2022
Status: Active
Subpart: Yes of Summit Healthcare Association

Other names

Summit Healthcare Family Medicine Eagar · other name

Authorized official

Kenneth Robert Allen
Chief Practice Officer
(928) 537-4375

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063166999

Summit Healthcare Medical Associates's National Provider Identifier is 1063166999, issued on Feb 9, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Eagar, AZ. The record was last updated on Feb 9, 2022.