institution
Fort Mojave Indian Tribe
Rural Health Clinic/Center in Mohave Valley, Arizona
NPI 1306897962

Fort Mojave Indian Tribe is a Rural Health Clinic/Center based in Mohave Valley, AZ and is specialized in Rural Health. Fort Mojave Indian Tribe practices in Mohave Valley, AZ. The NPI Number for Fort Mojave Indian Tribe is 1306897962 and holds a License No. (Arizona).

The current practice location address for Fort Mojave Indian Tribe is 1607 Plantation Rd, Mohave Valley, AZ and can be reached out via phone at 928-346-4679 and via fax at 928-346-4686.

Location: 1607 Plantation Rd, Mohave Valley, AZ, 86440-9686
institution
Provider Profile Details
NPI Number
1306897962
Provider Name
Fort Mojave Indian Tribe
Credential
Provider Entity Type
Organization
Address
1607 Plantation Rd, Mohave Valley, AZ, 86440-9686
Phone Number
928-346-4679
Fax Number
928-346-4686
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EAP00010F 01 CA EAPC
0500888779 01 CLIA
890211 05 AZ
institution
Provider Business Practice Location Address Details
Address
1607 Plantation Rd
City
State
Zip
86440-9686
Phone Number
928-346-4679
Fax Number
928-346-4686
person
Provider Business Mailing Address Details
Address
1607 Plantation Rd
City
State
Zip
86440-9686
Phone Number
928-346-4679
Fax Number
928-346-4686
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
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Definition
Definition to come...
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