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EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC NPI 1033400205


NPI Information

NPI: 1033400205
Provider Name: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC

Doing Business As: EL RIO COMMUNITY HEALTH CENTER-SOUTHEAST

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D1103681

Address:
6950 E GOLF LINKS RD
TUCSON, AZ
ZIP 85730
Phone: (520) 309-3210
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EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Tucson, AZ. EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC NPI is 1033400205. The provider is registered as an organization entity type.
The provider Is Doing Business As El Rio Community Health Center-southeast.

The provider's business location address is:

6950 E GOLF LINKS RD
TUCSON, AZ
ZIP 85730-017
Phone: (520) 309-3210

The provider's authorized official is Clinton Kuntz .
The authorized official title is Ceo and has the following contact phone number (520) 309-2012.

The CLIA number assigned to this NPI record is 03D1103681 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2011 and was last updated on 3/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)OTC4681ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1947895MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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