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Sandra L Ulmer

  • Female

Medical Specialty

Professional ID

  • NPI: 1912296211
  • PECOS ID: 2567633464
  • Enrollment ID: I20110926000910
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2010

Hospital Service

  • Hospital CCN1: 030069
  • Business Name (LBN)1: Havasu Regional Medical Center
  • Hospital CCN2: 030055
  • Business Name (LBN)2: Kingman Regional Medical Center

Medical Practices

  • Organization Name: North Country Healthcare Inc
  • Group Practice ID assigned by PECOS: 8820981053
  • Number of Group Practice member: 81

Location

  • Address1: 2090 Smoketree Ave N
  • Address2:
  • City: Lake Havasu City
  • State: Arizona
  • Zip Code: 86403
  • Phone Number: (928)522-9804

Location

  • Address1: 2920 N 4th St
  • Address2:
  • City: Flagstaff
  • State: Arizona
  • Zip Code: 86004
  • Phone Number: (928)522-9804

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):