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6950 E Golf Links Rd Tucson AZ 85730-1017 | |
(520) 309-3210 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 6950 E Golf Links Rd, Tucson, Arizona |
Authorized Official Name and Position | Clinton Kuntz (CEO) |
Authorized Official Contact | 5203092012 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1231 Tucson AZ 85702-1231 Ph: (520) 670-3909 | 6950 E Golf Links Rd Tucson AZ 85730-1017 Ph: (520) 309-3210 |
NPI Number | 1033400205 |
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Provider Enumeration Date | 04/22/2011 |
Last Update Date | 03/02/2023 |
Medicare PECOS PAC ID | 6305739244 |
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Medicare Enrollment ID | O20110901000233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033400205 | NPI | - | NPPES |
947895 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC4681 (Arizona) | Primary |
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