SUMMIT HEALTHCARE MEDICAL ASSOCIATES
NPI 1285380881
Clinic/Center - Rural Health in Pinetop, AZ
About Summit Healthcare Medical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT HEALTHCARE MEDICAL ASSOCIATES (NPI 1285380881) is a healthcare organization registered as a rural health in Pinetop, Arizona and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Kenneth Robert Allen, Chief Practice Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D0533630
Summit Healthcare Pinetop Medical · Pinetop, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summit Healthcare Medical Associates's NPI number?
The NPI number for Summit Healthcare Medical Associates is 1285380881. It was assigned to this organization in the NPPES registry on February 23, 2022. The provider is also known as Summit Healthcare Family Medicine Pinetop.
Where is Summit Healthcare Medical Associates located?
Summit Healthcare Medical Associates is located at 728 E White Mountain Blvd #a, Pinetop, AZ 85935. The listed phone number is (928) 367-6688.
What is Summit Healthcare Medical Associates's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Summit Healthcare Medical Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D0533630) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Summit Healthcare Medical Associates was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summit Healthcare Medical Associates · NPI 1285380881
Rural Health organization in Pinetop, Arizona. Organization record, active in the CMS NPPES registry since February 23, 2022.
## Identity
- **NPI:** 1285380881 (Entity type: Organization)
- **Enumerated:** February 23, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Summit Healthcare Family Medicine Pinetop (Other Name)
- **Organization subpart:** Yes (part of Summit Healthcare Association)
- **Authorized official:** Kenneth Allen, CHIEF PRACTICE OFFICER
## Practice location
- **Address:** 728 E WHITE MOUNTAIN BLVD #A, Pinetop, AZ 85935
- **Phone:** (928) 367-6688 · **Fax:** (928) 367-4916
## Record status
- **NPPES last updated:** February 23, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285380881) · Data from the CMS NPPES public registry.