| |
401 N Bonita Ave Tucson AZ 85709-5001 | |
(520) 571-6466 | |
(520) 721-0069 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 401 N Bonita Ave, Tucson, Arizona |
Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
Authorized Official Contact | 5207211887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | 401 N Bonita Ave Tucson AZ 85709-5001 Ph: (520) 571-6466 |
NPI Number | 1861042012 |
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Provider Enumeration Date | 09/18/2019 |
Last Update Date | 04/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861042012 | NPI | - | NPPES |
OTC9948 | Other | AZ | ADHS/BMFL LICENSE |
146445 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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