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NPI Code Detail

MEDICARE: MCKEE CENTER FOR WOMEN'S HEALTH

MEDICARE: MCKEE CENTER FOR WOMEN'S HEALTH
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1730195595
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCKEE CENTER FOR WOMEN'S HEALTH
Provider Business Mailing Address
First Line : 1441 N 12TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1813 CHEYENNE AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-4244
Country : US
Telephone Number : 970-203-6801
Fax Number :
Authorized Official
Title or Position : SR. VICE PRESIDENT FINANCE
Name : DENNIS E DAHLEN
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/21/2007

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Directions to “MCKEE CENTER FOR WOMEN'S HEALTH ” Practice Location

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