| St Elizabeth's Health Center | |
|
140 W Speedway Blvd Ste 100 Tucson AZ 85705-7687 | |
| (520) 628-7871 | |
| (520) 205-8461 |
| Full Name | St Elizabeth's Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 140 W Speedway Blvd Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Cecilia Cruce (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5203092718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeth's Health Center 839 W Congress St Tucson AZ 85745-2819 Ph: (520) 670-3909 | St Elizabeth's Health Center 140 W Speedway Blvd Ste 100 Tucson AZ 85705-7687 Ph: (520) 628-7871 |
| NPI Number | 1457982647 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457982647 | NPI | - | NPPES |
| 007328 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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