| Casa De Los Ninos | |
|
1101 N. 4th Ave Tucson AZ 85705 | |
| (520) 624-5600 | |
| Not Available |
| Full Name | Casa De Los Ninos |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1101 N. 4th Ave, Tucson, Arizona |
| Authorized Official Name and Position | Rosie Dyer (NURSE SUPERVISOR) |
| Authorized Official Contact | 5206245600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Los Ninos 1145 N. 4th Ave. Tucson AZ 85705 Ph: (520) 624-5600 | Casa De Los Ninos 1101 N. 4th Ave Tucson AZ 85705 Ph: (520) 624-5600 |
| NPI Number | 1255546412 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255546412 | NPI | - | NPPES |
| 385189 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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