Organization · Type 2 NPI

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

Public Health or Welfare Agency · Gila Bend, AZ

NPI number 1962949008 Active

Practice location

1216 N. 307th Avenue, San Lucy Clinic
Gila Bend, AZ 85337

Call (928) 683-2913 Map

Fax (928) 683-2008

Mailing address

San Lucy Clinic, P.o.box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

Other public health or welfare agency providers in Gila Bend

Dhew Ind HLTH SV HLTH SVS & MNTL HLTHPublic Health or Welfare Agency Gila Bend, AZ NPI 1912921677

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NPI record

NPI: 1962949008
Entity type: Organization (Type 2)
Issued: Jan 27, 2017
Last updated: Jun 19, 2019
Status: Active
Subpart: Yes of Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

Other names

<unavail>
San Lucy Clinic · doing business as

Authorized official

Miss Deanna J. Dick, MSW, . MHA
(ceo) Chief Executive Officer
(602) 263-1567

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About NPI 1962949008

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm's National Provider Identifier is 1962949008, issued on Jan 27, 2017. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Gila Bend, AZ. The record was last updated on Jun 19, 2019.