Organization · Type 2 NPI
Ponderosa Family Care, LLC
Rural Health Clinic/Center · Payson, AZ
NPI number
1992321723
Active
Practice location
127 E Main St Ste D
Payson, AZ 85541-5646
Fax (928) 468-8625
Mailing address
PO Box 2901
Payson, AZ 85547-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Payson
About NPI 1992321723
Ponderosa Family Care, LLC's National Provider Identifier is 1992321723, issued on Jun 17, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Payson, AZ. The record was last updated on Jun 17, 2020.