OrganizationActive
Billy Creek Clinic
NPI 1679730493 · Primary Care Clinic/Center · Lakeside, AZ
Provider details
- NPI number
- 1679730493
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Larue, Billing(928) 333-5333
- License
- 32794 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
43 W White Mountain Blvd
Lakeside, AZ 85929-7002
Phone: (928) 367-4040
Fax: (928) 367-4042
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 878
Springerville, AZ 85938-0878
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.