FREDONIA MEDICAL CENTER, INC
Ambulatory Health at Spring St, Kingman, AZ

License number
Arizona 08709408
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. KIRSTEN MORTENSON D.O.
Title: CEO
Phone: (928) 715-4311
Address
Address
201 E Spring St, Kingman, AZ 86401
National Provider ID: 1629220504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FREDONIA MEDICAL CENTER, INC at bizstanding.com

FREDONIA MEDICAL CENTER, INC

201 E Spg St, Kingman, AZ 86401

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Mar 31, 1999
Inactive since:
Sep 10, 2012
State ID:
-0870940-8
Expiration:
PERPETUAL
Directors:
Kirsten Mortenson (President), 201 E Spg St, Kingman, AZ 86401 (Physical),Howard Palen (Secretary), 201 E Spg St, Kingman, AZ 86401 (Physical),Ryan Candland (Director)
Agent:
Howard W Palen,201 E Spg St, Kingman, AZ 86401 (Physical)
Business type:
HEALTH CARE

Ambulatory Health licenses in Arizona










Other Doctors licenses in Arizona