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1130 E Main St Somerton AZ 85350-7413 | |
| (928) 627-2017 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1130 E Main St, Somerton, Arizona |
| Authorized Official Name and Position | Amanda Aguirre (PRESIDENT & CEO) |
| Authorized Official Contact | 9283157910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 617 Somerton AZ 85350-0617 Ph: (928) 315-7910 | 1130 E Main St Somerton AZ 85350-7413 Ph: (928) 627-2017 |
| NPI Number | 1063898260 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 1850681958 |
|---|---|
| Medicare Enrollment ID | O20160601002864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063898260 | NPI | - | NPPES |
| OTC7579 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 075094 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael E Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154365187 PECOS PAC ID: 8426073271 Enrollment ID: I20051011000230 |
| Provider Name | Mohamed H El Gasim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609025642 PECOS PAC ID: 8921167958 Enrollment ID: I20081106000096 |
| Provider Name | William R Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780913236 PECOS PAC ID: 5597893511 Enrollment ID: I20100512001093 |
| Provider Name | Stephen D Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255578324 PECOS PAC ID: 1557257847 Enrollment ID: I20101214000680 |
| Provider Name | Richard A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609806348 PECOS PAC ID: 4183528714 Enrollment ID: I20151116002266 |
| Provider Name | Natalia Varenka Galarza Carrazco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982045423 PECOS PAC ID: 4284938085 Enrollment ID: I20170123001281 |
| Provider Name | Monica J Montufar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003927336 PECOS PAC ID: 2668637059 Enrollment ID: I20170821002869 |
| Provider Name | Gwendolyn Terrazas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801375126 PECOS PAC ID: 9931450533 Enrollment ID: I20180920001840 |
| Provider Name | Shruti Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073889085 PECOS PAC ID: 7719239060 Enrollment ID: I20181015001556 |
| Provider Name | Jaime E Valles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457826224 PECOS PAC ID: 8224377635 Enrollment ID: I20190301001543 |
| Provider Name | Lizeth Fabiola Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306460522 PECOS PAC ID: 6103245360 Enrollment ID: I20201007002884 |
| Provider Name | Satish Kumar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619901501 PECOS PAC ID: 9234434234 Enrollment ID: I20210406002226 |
| Provider Name | May Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669512026 PECOS PAC ID: 9739177023 Enrollment ID: I20220620001809 |
| Provider Name | Taliah Anabell Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063274264 PECOS PAC ID: 4789028564 Enrollment ID: I20240220003547 |
| Provider Name | Matilde Gaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396329660 PECOS PAC ID: 3274977947 Enrollment ID: I20240221001946 |
| Provider Name | Melissa Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871116897 PECOS PAC ID: 6103264767 Enrollment ID: I20240402003821 |
| Provider Name | Emalie Ann Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174382154 PECOS PAC ID: 2365880887 Enrollment ID: I20240403002036 |
| Provider Name | Melissa Brigit Gomez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548023138 PECOS PAC ID: 2769821560 Enrollment ID: I20240412001780 |
| Provider Name | Maria Del Carmen Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689422115 PECOS PAC ID: 5799127031 Enrollment ID: I20240531001566 |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Main St Bldg C, Somerton, AZ 85350 Phone: 928-324-1040 Fax: 928-324-1044 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Main St Bldg B, Somerton, AZ 85350 Phone: 928-236-8001 Fax: 928-722-6113 | |
Sunset Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 N Somerton Ave, Somerton, AZ 85350 Phone: 928-627-2051 Fax: 928-627-3857 |