Williams Health Care Center

Organization Active NPI Primary Care Clinic/Center · Williams, AZ

NPI 1912934258 · NPPES record last updated Oct 15, 2007

Key facts

NPI
1912934258
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
WILLIAMS HEALTH CARE CENTER
Practice address
301 S 7TH St
Williams, AZ 86046-2324
Phone
(928) 635-4441
NPI assigned
Jun 26, 2006
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Dennis Dahlen
Title
Sr Vice President Finance
Phone
(602) 747-4000

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
M E Lee MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

301 S 7TH St
Williams, AZ 86046-2324

Mailing address

1441 N 12TH St
Phoenix, AZ 85006-2837

Other identifiers

IdentifierTypeStateIssuer
533788MedicaidAZ

Other providers in Williams, AZ

All providers in Williams, AZ · Primary Care Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.