OrganizationActive
Ponderosa Family Care, LLC
NPI 1992321723 · Rural Health Clinic/Center · Payson, AZ
Provider details
- NPI number
- 1992321723
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Alan Michels, Physician/Owner
Practice location
127 E Main St Ste D
Payson, AZ 85541-5646
Phone: (928) 468-8603
Fax: (928) 468-8625
Mailing address
Po Box 2901
Payson, AZ 85547-2901
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.