NPI 1164799987

Nazcare, INC Power Recovery Center

Organisation Exclusive Provider Organization Eagar, AZ

Practice location

Address: 367 N Main St, Eagar, AZ 85925-9675
Phone: (928) 333-4990
Fax: (928) 649-9394
Mailing address: 599 White Spar Rd, Prescott, AZ 86303-4627

Authorised official

Name: Roberta Lynne Howard
Title: Chief Executive Officer
Phone: (928) 442-9205

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CSA03NA0148 (AZ)

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Registry record

NPI: 1164799987
Entity type: Organization
NPI issued: 22 Nov 2011
Record last updated: 16 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.