AJO COMMUNITY HEALTH CENTER NPI 1548794142

NPI Information

AJO COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Arizona City, AZ. AJO COMMUNITY HEALTH CENTER NPI is 1548794142. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Senita Community Health Center.

The provider's business location address is:

13060 S SUNLAND GIN RD
ARIZONA CITY, AZ
ZIP 85123
Phone: (520) 387-5651

The provider's authorized official is Jonathan Leonard .
The authorized official title is Ceo and has the following contact phone number (520) 387-5651.

The CLIA number assigned to this NPI record is 03D0531089 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/20/2017.

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:

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