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General NPI Number Information
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NPI Number | 1083736128
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTHCARE ASSOCIATION
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2500 E HUNT DR STE H-J
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City | SHOW LOW
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State | AZ
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Zip | 85901-7954
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Country | US
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Telephone | 928-537-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E HUNT ST SUITE H
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City | SHOW LOW
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State | AZ
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Zip | 85901-7954
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Country | US
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Telephone | 928-537-6937
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DAVID ROTHENBERGER
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Credential |
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Telephone | 375-928-6375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | 3376
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 3376
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License Number State | AZ
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