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NPI Code Detail

MEDICARE: SUMMIT HEALTHCARE ASSOCIATION

MEDICARE: SUMMIT HEALTHCARE ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHHA0032AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134199839
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT HEALTHCARE ASSOCIATION
Provider Business Mailing Address
First Line : 2200 E SHOW LOW LAKE RD
Second Line :
City : SHOW LOW
State : AZ
Zip : 85901-7881
Country : US
Telephone Number : 928-537-4375
Fax Number : 928-537-8839
Provider Business Practice Location Address
First Line : 2500 E HUNT DR
Second Line :
City : SHOW LOW
State : AZ
Zip : 85901-7954
Country : US
Telephone Number : 928-537-6900
Fax Number : 928-537-8839
Authorized Official
Title or Position : CFO
Name : MR. DAVID ROTHENBERGER
Credential :
Telephone Number : 928-537-6399
Provider Enumeration Date : 01/25/2006
Last Update Date : 06/16/2025

Similar Medicare Providers

1740286707 — MARILYN P KING FNP
Practice Location Address:
2500 E HUNT DR STE H-J
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6937
Practice Fax: 928-537-8798
1316936222 — DR. SALMAN MALAD MD
Practice Location Address:
2500 E HUNT DR STE H-J
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6937
Practice Fax: 928-532-8798
1073559399 — MAUREEN MARY WALLACE PA-C
Practice Location Address:
2500 E HUNT DR STE H-J
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6937
Practice Fax: 928-537-3977
1164454047 — RANDY WHITTLE
Practice Location Address:
2500 E HUNT ST
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6532
Practice Fax:
1083736128 — SUMMIT HEALTHCARE ASSOCIATION
Practice Location Address:
2500 E HUNT DR STE H-J
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6937
Practice Fax:
1114157195 — DR. DENNIS ANDREW BUCK DO
Practice Location Address:
2500 E HUNT DR STE H-J
SHOW LOW, AZ
85901-7954
Practice Phone: 928-537-6937
Practice Fax: 928-532-8798

Directions to “SUMMIT HEALTHCARE ASSOCIATION ” Practice Location

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