OrganizationActive
Summit Healthcare Medical Associates
NPI 1770700767 · Rural Health Clinic/Center · Overgaard, AZ
Provider details
- NPI number
- 1770700767
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Summit Healthcare Association
- Organization subpart
- Yes
- Authorized official
- Jill Bluse, Health Plan Credentialing Coordinat(928) 537-6393
- License
- H0132 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2352 Quarter Horse Trail
Overgaard, AZ 85933
Phone: (928) 535-3616
Fax: (928) 532-2156
Approximate (ZIP-level) locationGet directions
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Other names (DBA / former)
- Doing business as
- Family Medicine at Bison Ranch
- Doing business as
- Family Medicine at Bison Ranch
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.