| Escalera Health, Llc | |
|
2224 N Craycroft Rd Ste 100 Tucson AZ 85712-2811 | |
| (520) 209-1919 | |
| (520) 207-6200 |
| Full Name | Escalera Health, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2224 N Craycroft Rd Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Edward J Hudson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5203226274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escalera Health, Llc 2850 North Country Club Road Tucson AZ 85716-1910 Ph: (520) 322-6274 | Escalera Health, Llc 2224 N Craycroft Rd Ste 100 Tucson AZ 85712-2811 Ph: (520) 209-1919 |
| NPI Number | 1962982397 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962982397 | NPI | - | NPPES |
| 409263 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC9032 (Arizona) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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