Birth & Womens Center, Inc | |
5979 E Grant Rd #107 Tucson AZ 85712-2368 | |
(520) 795-9912 | |
(520) 670-3792 |
Full Name | Birth & Womens Center, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5979 E Grant Rd #107, Tucson, Arizona |
Authorized Official Name and Position | Nancy Johnson (CEO) |
Authorized Official Contact | 5203092012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Birth & Womens Center, Inc 839 W Congress St Tucson AZ 85745-2819 Ph: (520) 795-9912 | Birth & Womens Center, Inc 5979 E Grant Rd #107 Tucson AZ 85712-2368 Ph: (520) 795-9912 |
NPI Number | 1255518528 |
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Provider Enumeration Date | 01/29/2008 |
Last Update Date | 08/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255518528 | NPI | - | NPPES |
947879 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC 5028 (Arizona) | Primary |
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