| El Rio Santa Cruz Neighborhood Health Center, Inc | |
|
3655 E Grant Rd Tucson AZ 85716-2933 | |
| (520) 670-3090 | |
| (520) 309-0256 |
| Full Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3655 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Cecilia Cruce (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5203092718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc Po Box 1231 Tucson AZ 85702-1231 Ph: (520) 792-9890 | El Rio Santa Cruz Neighborhood Health Center, Inc 3655 E Grant Rd Tucson AZ 85716-2933 Ph: (520) 670-3090 |
| NPI Number | 1477204485 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 6305739244 |
|---|---|
| Medicare Enrollment ID | O20220615001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477204485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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