EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER NPI 1912177254

NPI Information

NPI: 1912177254
Provider Name: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
839 W CONGRESS ST
TUCSON, AZ
ZIP 85745
Phone: (520) 670-3792
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EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Tucson, AZ. EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER NPI is 1912177254. The provider is registered as an organization entity type.

The provider's business location address is:

839 W CONGRESS ST
TUCSON, AZ
ZIP 85745-819
Phone: (520) 670-3792

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 enumeration date for this NPI number is 3/3/2008 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	OTC0006	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061333	MEDICAID	ARIZONA
2	177776	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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