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 |
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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 |
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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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