SUMMIT HEALTHCARE AT BISON RANCH
NPI 1326549031
Non-Pharmacy Dispensing Site in Overgaard, AZ

Active since February 27, 2018CLIA 03D1059537 · Waiver
2352 QUARTER HORSE TRAIL, OVERGAARD, AZ 85933(928) 537-6910(952) 653-2540 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Healthcare At Bison Ranch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT HEALTHCARE AT BISON RANCH (NPI 1326549031) is a healthcare organization registered as a non-pharmacy dispensing site in Overgaard, Arizona and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Aaron Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326549031
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSUMMIT HEALTHCARE ASSOCIATION
Location Address2352 QUARTER HORSE TRAILOvergaard, AZ 85933
Mailing Address2352 Quarter Horse TrailOvergaard, AZ 85933 · (928) 537-6910 · Fax (952) 653-2540
Fax(952) 653-2540
Organization SubpartYes
Authorized OfficialAaron YoungAdministrator · (928) 537-6389
Enumeration DateFebruary 27, 2018
NPI 1326549031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in AZ · OTC8162
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2352 QUARTER HORSE TRAIL, Overgaard, AZ 85933

Other Names 1

Doing Business AsSummit Healthcare At Bison Ranch

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 03D1059537

Summit Healthcare Family Medicine At Bison Ranch · Overgaard, AZ
Active · expires Oct 1, 2026
CLIA Number03D1059537
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDr. Nathan Brooks
Laboratory Phone(928) 535-3616
Laboratory LocationSummit Healthcare Family Medicine At Bison Ranch2352 Quarter Horse Trail, Overgaard, AZ 85933
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933
Physician Assistant
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933
Clinic/Center (Rural Health)
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933

Frequently 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 Association's NPI number?

The NPI number for Summit Healthcare Association is 1326549031. It was assigned to this organization in the NPPES registry on February 27, 2018. The provider is doing business as Summit Healthcare At Bison Ranch.

Where is Summit Healthcare Association located?

Summit Healthcare Association is located at 2352 Quarter Horse Trail, Overgaard, AZ 85933. The listed phone number is (928) 537-6910.

What is Summit Healthcare Association's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Summit Healthcare Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1059537) is associated with this NPI, valid through October 1, 2026. 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 Association was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.