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SAGE MEMORIAL HOSPITAL

Medical Equipment Supplier Yellow Pages

Ganado, Arizona

Provider NPI: 1447315494

Organization Information:
Organization Name:  SAGE MEMORIAL HOSPITAL


Practice Location:
HWY 264 AND 191  GANADO, AZ 86505 US
Tel: 928-755-4500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336M0003XSuppliers
Pharmacy
Managed Care Organization Pharmacy
Y3336C0002XSuppliers
Pharmacy
AZY000758

Other Provider Identifiers:

IssuerNumberStateType
021353AZ05
NCPDP PROVIDER IDENTIFICATION NUMBER030894901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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