Provider Demographics
NPI:1487696738
Name:GRAHAM COUNTY
Entity type:Organization
Organization Name:GRAHAM COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, BOARD OF SUPERVISORS
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-428-3250
Mailing Address - Street 1:826 W MAIN ST
Mailing Address - Street 2:826 W. MAIN STREET
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-2833
Mailing Address - Country:US
Mailing Address - Phone:928-428-0110
Mailing Address - Fax:928-428-8074
Practice Address - Street 1:826 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-2833
Practice Address - Country:US
Practice Address - Phone:928-428-0110
Practice Address - Fax:928-428-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare