Organization · Type 2 NPI
Maternal Child Health Program
Primary Care Clinic/Center · San Carlos, AZ
NPI number
1639519002
Active
Practice location
Bulding 15, San Carlos Ave
San Carlos, AZ 85550-9999
Mailing address
P.o. Box 0, Building 15, San Carlos Av
San Carlos, AZ 85550-9999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1639519002
Maternal Child Health Program's National Provider Identifier is 1639519002, issued on Jul 1, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Carlos, AZ. The record was last updated on Jul 17, 2013.