Healthcare Provider Details

I. General information

NPI: 1487696738
Provider Name (Legal Business Name): GRAHAM COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 W MAIN ST
SAFFORD AZ
85546-2833
US

IV. Provider business mailing address

826 W MAIN ST 826 W. MAIN STREET
SAFFORD AZ
85546-2833
US

V. Phone/Fax

Practice location:
  • Phone: 928-428-0110
  • Fax: 928-428-8074
Mailing address:
  • Phone: 928-428-0110
  • Fax: 928-428-8074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK C. HERRINGTON
Title or Position: CHAIRMAN, BOARD OF SUPERVISORS
Credential:
Phone: 928-428-3250