Organization · Type 2 NPI

Summit Healthcare Association

Psychiatric Hospital Unit · Show Low, AZ

NPI number 1477104552 Active

Practice location

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

Fax (928) 532-2131

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Unit Primary	273R00000X	None listed

Psychiatric Hospital Unit: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent perso…

87 other providers at this address

NPI record

NPI: 1477104552
Entity type: Organization (Type 2)
Issued: Sep 20, 2019
Last updated: Jun 11, 2025
Status: Active
Subpart: Yes of Summit Healthcare Association

Other names

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Summit Healthcare Regional Medical Center · doing business as
Summit Healthcare Regional Medical Center · doing business as

Authorized official

Jill Bluse
Health Plan Credentialing Coord
(928) 537-6393

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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 1477104552

Summit Healthcare Association's National Provider Identifier is 1477104552, issued on Sep 20, 2019. The primary taxonomy on file is Psychiatric Hospital Unit (273R00000X), and the practice location is in Show Low, AZ. The record was last updated on Jun 11, 2025.