Gila River Health Care Corporation DME
Organization Active NPI Durable Medical Equipment & Medical Supplies · Sacaton, AZ
NPI 1104980911 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104980911
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 07-488076N (AZ)
- Legal business name
- GILA RIVER HEALTH CARE CORPORATION DME
- Practice address
- 483 West Seed Farm Rd
Gila River Health Care Corporation
Sacaton, AZ 85247-0038 - Phone
- (888) 484-8526
- Fax
- (602) 528-1245
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Loren P. Ellory
- Title
- C.E.O.
- Phone
- (602) 528-1431
Corporate family (same tax ID) 22
Practitioners 1
-
Gillian Jackson, PT
National Provider Directory
- Tax ID family
- Gila River Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 07-488076N | AZ | Yes |
Addresses
Primary practice location
483 West Seed Farm Rd
Gila River Health Care Corporation
Sacaton, AZ 85247-0038
Mailing address
483 W. Seed Farm Road
P. O. Box 38
Sacaton, AZ 85247
Phone (888) 484-8526
Other names
- DME Division
Other providers in Sacaton, AZ
- Gila River Health Care Corporation
- Gila River Health Care Corporation
- Gila River Health Care Corporation
- Gila River Health Care Corporation
- Gila River Health Care Corporation
- Gila River Health Care Corportion
- Gila River Indian Community Department of Human Services
- Gila River Regional Behavioral Health Authority
- Gila River Regional Behavioral Health Authority
- Charlie Ginn
All providers in Sacaton, AZ · Durable Medical Equipment & Medical Supplies in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.