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 |
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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 |
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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 |
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Provider Enumeration Date | 10/10/2014 |
Last Update Date | 01/24/2023 |
Identifier | Type | State | Issuer |
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1275937823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC4982 (Arizona) | Primary |
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