| Rita Ranch Family Health Center | |
|
8045 S Rita Rd Tucson AZ 85747-9018 | |
| (520) 682-4560 | |
| (520) 682-4570 |
| Full Name | Rita Ranch Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8045 S Rita Rd, Tucson, Arizona |
| Authorized Official Name and Position | Dd Sande (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5206824560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rita Ranch Family Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4560 | Rita Ranch Family Health Center 8045 S Rita Rd Tucson AZ 85747-9018 Ph: (520) 682-4560 |
| NPI Number | 1053470294 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053470294 | NPI | - | NPPES |
| 060153 | 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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