Summit Healthcare Association
Organization Active NPI Community/Retail Pharmacy · Show Low, AZ
NPI 1811468804 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1811468804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SUMMIT HEALTHCARE ASSOCIATION
- Practice address
- 4951 South White Mountain Road, BLDG a., Suite 1500
Show Low, AZ 85901 - Phone
- (928) 537-6336
- Fax
- (928) 532-3506
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
Authorized official
- Name
- William C Gardner
- Title
- Chief Executive Officer
- Phone
- (928) 537-6556
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 3
Subparts reporting this organization as parent 15
Practitioners 78
-
Mark Bailey, MD
-
Grant S Berges, MD
-
Benjamin Paul Coleman, D.O.
-
Simranjit Singh Galhotra, MD, MBA
-
Valerie Pratt Israel, D.O.
-
Marilyn P King, FNP
-
Koushik Nag, DO
-
Arun S. Patil, M.D.
-
Upamanyu Rampal, M.D
-
Steven Sckolnik, MD
-
Adhar Seth, MD
-
Basel Shoua, M.D
-
Riyaz A Sumar, MD
-
Hiva Vakil, MD
-
Maureen Mary Wallace, PA-C
-
Douglas A Wright, DO
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Summit Healthcare Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Association |
Home health agency | Operational/Managerial Control (100%) | Feb 25, 1976 |
| Summit Healthcare Pediatrics |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine at Bison Ranch |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine St Johns |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 23, 2014 |
| Summit Healthcare Snowflake Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine Snowflake Taylor |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190806002939 | AZ | DME Supplier - Pharmacy | 3779568647 | Practice locations: Show Low, AZ |
| O20201019002232 | AZ | Part B Supplier - Pharmacy | 3779568647 | Practice locations: Show Low, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4951 South White Mountain Road, BLDG a., Suite 1500
Show Low, AZ 85901
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-6321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470811 | Medicaid | AZ |
Other providers in Show Low, AZ
- Summit Healthcare
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
- Summit Regional Medical Center
- Summit Surgical Consultants PC
All providers in Show Low, AZ · Community/Retail Pharmacy in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.