| Northwest Ob/gyn | |
|
2055 W Hospital Dr Ste 115 Tucson AZ 85704-7823 | |
| (520) 797-0011 | |
| (520) 797-7550 |
| Full Name | Northwest Ob/gyn |
|---|---|
| Speciality | Clinic/Center |
| Location | 2055 W Hospital Dr Ste 115, Tucson, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Ob/gyn Po Box 188 Marana AZ 85653-0188 Ph: (520) 797-0011 | Northwest Ob/gyn 2055 W Hospital Dr Ste 115 Tucson AZ 85704-7823 Ph: (520) 797-0011 |
| NPI Number | 1407915630 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20070203000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407915630 | NPI | - | NPPES |
| 928952 | 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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