| Pasadera Walk-in Clinic (samhc) | |
|
2502 N. Dodge Blvd. Suite 190 Tucson AZ 85716-2675 | |
| (520) 618-8600 | |
| (520) 617-1608 |
| Full Name | Pasadera Walk-in Clinic (samhc) |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2502 N. Dodge Blvd., Tucson, Arizona |
| Authorized Official Name and Position | Stephanie Oliver (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Contact | 5206283400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadera Walk-in Clinic (samhc) 2700 S 8th Ave Tucson AZ 85713-4730 Ph: (520) 628-3400 | Pasadera Walk-in Clinic (samhc) 2502 N. Dodge Blvd. Suite 190 Tucson AZ 85716-2675 Ph: (520) 618-8600 |
| NPI Number | 1053524348 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053524348 | NPI | - | NPPES |
| OTC6597 | Other | AZ | STATE LICENSE |
| 848952 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6597 (Arizona) | Primary |
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