| El Pueblo Health Center | |
|
101 W Irvington Rd Suite #10 Tucson AZ 85714-3050 | |
| (520) 309-4563 | |
| Not Available |
| Full Name | El Pueblo Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 101 W Irvington Rd, Tucson, Arizona |
| Authorized Official Name and Position | Clinton Kuntz (CEO) |
| Authorized Official Contact | 5206703909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Pueblo Health Center Po Box 1231 Tucson AZ 85702-1231 Ph: (520) 670-3909 | El Pueblo Health Center 101 W Irvington Rd Suite #10 Tucson AZ 85714-3050 Ph: (520) 309-4563 |
| NPI Number | 1275937823 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275937823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC4982 (Arizona) | Primary |
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