Little Colorado Medical Center

LBN: Winslow Memorial Hospital Inc
Little Colorado Medical Center is an health care organization with primary practice located at 1501 Williamson Ave , Winslow AZ 86047-2735. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Winslow Memorial Hospital Inc can be contacted via phone (928) 289-4691, or through Udall, Travis via phone (928) 289-4691.

Contact Information

Primary practice address
1501 Williamson Ave Winslow AZ 86047-2735
Fax: (928) 289-3855
Website:
Authorized official contact:
Name: Udall, Travis

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 03-8507 Arizona
Hospitals / Critical Access 282NC0060X RGH0076 Arizona
Hospitals / Critical Access 282NC0060X Arizona

Profile Details

NPI number 1477653889
LBN Legal business name Winslow Memorial Hospital Inc
DBA Doing business as Little Colorado Medical Center
Authorized official Udall, Travis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 28th, 2024 - about 6 months 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 1477653889 NPPES
Arizona MEDICAID 176132
Arizona MEDICAID 020389

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