Summit Healthcare Oncology Center

LBN: Summit Healthcare Association
Summit Healthcare Oncology Center is an health care organization with primary practice located at 2500 E Hunt St Suite H, Show Low AZ 85901-7954. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Oncology, Ambulatory Health Care Facilities / Oncology, Radiation. Ambulatory Health Care Facilities / Oncology is the primary health care specialty. Summit Healthcare Association can be contacted via phone (928) 537-6937, or through Allen, Kenneth Robert via phone (928) 537-6399.

Contact Information

Primary practice address
2500 E Hunt St Suite H Show Low AZ 85901-7954
Fax:
Website:
Authorized official contact:
Name: Allen, Kenneth Robert

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X 3376 Arizona
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X 3376 Arizona

Profile Details

NPI number 1083736128
LBN Legal business name Summit Healthcare Association
DBA Doing business as Summit Healthcare Oncology Center
Authorized official Allen, Kenneth Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083736128 NPPES
Arizona MEDICAID 020016

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