| Erickson Health Center | |
|
6750 E Stella Rd Tucson AZ 85730-2202 | |
| (520) 682-4560 | |
| (520) 682-3299 |
| Full Name | Erickson Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6750 E Stella Rd, Tucson, Arizona |
| Authorized Official Name and Position | Clarence Vatne (CEO) |
| Authorized Official Contact | 5206824560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4560 | Erickson Health Center 6750 E Stella Rd Tucson AZ 85730-2202 Ph: (520) 682-4560 |
| NPI Number | 1659430874 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659430874 | NPI | - | NPPES |
| 060153 | Medicaid | AZ | |
| 329592 | Other | AZ | AHCCCS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Arizona) | Primary |
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