Organization · Type 2 NPI

Summit Healthcare Association

Non-Pharmacy Dispensing Site · Overgaard, AZ

NPI number 1326549031 Active

Practice location

2352 Quarter Horse Trail
Overgaard, AZ 85933

Fax (952) 653-2540

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	OTC8162 (AZ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

NPI record

NPI: 1326549031
Entity type: Organization (Type 2)
Issued: Feb 27, 2018
Last updated: Feb 27, 2018
Status: Active
Subpart: Yes of Summit Healthcare Association

Other names

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Summit Healthcare at Bison Ranch · doing business as

Authorized official

Aaron Young
Administrator
(928) 537-6389

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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 1326549031

Summit Healthcare Association's National Provider Identifier is 1326549031, issued on Feb 27, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Overgaard, AZ. The record was last updated on Feb 27, 2018.