Centro De Ayuda | |
107 East 4th Street Eloy AZ 85131-2500 | |
(520) 466-7765 | |
(520) 466-4475 |
Full Name | Centro De Ayuda |
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Speciality | Clinic/Center |
Location | 107 East 4th Street, Eloy, Arizona |
Authorized Official Name and Position | Ralph Varela (CEO) |
Authorized Official Contact | 5204667765 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centro De Ayuda Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Centro De Ayuda 107 East 4th Street Eloy AZ 85131-2500 Ph: (520) 466-7765 |
NPI Number | 1235271404 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 10/12/2023 |
Certification Date | 10/12/2023 |
Medicare PECOS PAC ID | 4981742434 |
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Medicare Enrollment ID | O20091104000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235271404 | NPI | - | NPPES |
OTC6037 | Other | AZ | ADHS/BMFL LICENSE |
688903 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BH-3952 (Arizona) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Stephen Lopez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760432009 PECOS PAC ID: 8325943566 Enrollment ID: I20031202000076 |
Provider Name | Andrea L Raby |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679645782 PECOS PAC ID: 4981591708 Enrollment ID: I20040304000335 |
Provider Name | Judith T Yurgel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679659916 PECOS PAC ID: 7618962077 Enrollment ID: I20040416000249 |
Provider Name | Justine R Confino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881781847 PECOS PAC ID: 2062485675 Enrollment ID: I20040812001330 |
Provider Name | Manuel Medina |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740345404 PECOS PAC ID: 2062472970 Enrollment ID: I20041014001169 |
Provider Name | Melanie V Romo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134216104 PECOS PAC ID: 7012012537 Enrollment ID: I20070411000475 |
Provider Name | Ralph Varela |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730414798 PECOS PAC ID: 8022156587 Enrollment ID: I20091104000171 |
Provider Name | Betty Louise Yurgel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003090739 PECOS PAC ID: 5496970212 Enrollment ID: I20140710000427 |
Provider Name | Comfort D Impraim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144610239 PECOS PAC ID: 8820306533 Enrollment ID: I20150930000241 |
Provider Name | Phillip Plemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871840199 PECOS PAC ID: 8921321043 Enrollment ID: I20160608000339 |
Provider Name | Ian Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417402280 PECOS PAC ID: 8820374911 Enrollment ID: I20170403002154 |
Provider Name | Erkan Caygoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356868160 PECOS PAC ID: 0547528218 Enrollment ID: I20171229002261 |
Provider Name | Pinky R Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073063590 PECOS PAC ID: 5890055248 Enrollment ID: I20180205001257 |
Provider Name | Cicili Arockiaraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730567801 PECOS PAC ID: 9537421706 Enrollment ID: I20180328000996 |
Provider Name | Patricia I Herrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
Provider Name | Margarita N Elias |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134618242 PECOS PAC ID: 2961758511 Enrollment ID: I20180711003967 |
Provider Name | Brijeshaben U Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538787072 PECOS PAC ID: 1759797053 Enrollment ID: I20210311001342 |
Provider Name | Stacy Kit Johns Caligiuri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275140972 PECOS PAC ID: 7911307863 Enrollment ID: I20210614003194 |
Provider Name | Christine M Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659443810 PECOS PAC ID: 5890030712 Enrollment ID: I20210810001952 |
Provider Name | William H Ruby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003149691 PECOS PAC ID: 5597806893 Enrollment ID: I20211029001373 |
Provider Name | Scott Christopher Gilman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700547353 PECOS PAC ID: 1850785395 Enrollment ID: I20220228001704 |
Provider Name | Monica L Wooldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578898383 PECOS PAC ID: 1658523022 Enrollment ID: I20220930000283 |
Provider Name | Jennifer Plenty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437878659 PECOS PAC ID: 6406223262 Enrollment ID: I20221108000633 |
Provider Name | Hayley F Garigan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235807983 PECOS PAC ID: 5193199610 Enrollment ID: I20230324001366 |
Provider Name | Kathy Ann Jacobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982361127 PECOS PAC ID: 1153795596 Enrollment ID: I20230324002664 |
Provider Name | Joy-anne Simone James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205381498 PECOS PAC ID: 2567742380 Enrollment ID: I20240229003657 |
Provider Name | Martin Romeo Tamou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114785953 PECOS PAC ID: 1456791748 Enrollment ID: I20240503001093 |
Provider Name | Jovan Martiza Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144796152 PECOS PAC ID: 0446691489 Enrollment ID: I20240508003141 |