| Las Fuentes Health Clinic | |
|
8625 S Avenida Del Yaqui Guadalupe AZ 85283-2504 | |
| (480) 777-2263 | |
| (480) 777-2264 |
| Full Name | Las Fuentes Health Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8625 S Avenida Del Yaqui, Guadalupe, Arizona |
| Authorized Official Name and Position | John Ward Molina (CEO) |
| Authorized Official Contact | 4807772263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Fuentes Health Clinic 8625 S Avenida Del Yaqui Guadalupe AZ 85283-2504 Ph: (480) 777-2263 | Las Fuentes Health Clinic 8625 S Avenida Del Yaqui Guadalupe AZ 85283-2504 Ph: (480) 777-2263 |
| NPI Number | 1568559631 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568559631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Maricopa Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5825 E Calle Guadalupe, Guadalupe, AZ 85283 Phone: 602-344-8180 Fax: 602-344-8122 |