| Pinal Hispanic Council | |
|
1326 W Highway 92 Ste J Bisbee AZ 85603-1151 | |
| (520) 366-3603 | |
| (520) 432-3678 |
| Full Name | Pinal Hispanic Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1326 W Highway 92 Ste J, Bisbee, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinal Hispanic Council Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Pinal Hispanic Council 1326 W Highway 92 Ste J Bisbee AZ 85603-1151 Ph: (520) 366-3603 |
| NPI Number | 1104669720 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104669720 | NPI | - | NPPES |
| BH4287 | Other | AZ | BUREAU OF MEDICAL FACILITIES LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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