| San Jose Health Clinic, Llc | |
|
1962 E Juan Sanchez Blvd Ste 1 San Luis AZ 85349 | |
| (928) 722-6098 | |
| (928) 627-0007 |
| Full Name | San Jose Health Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1962 E Juan Sanchez Blvd, San Luis, Arizona |
| Authorized Official Name and Position | Jose M Piscoya (PRESIDENT) |
| Authorized Official Contact | 9287226098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Health Clinic, Llc Po Box 1689 San Luis AZ 85349-1689 Ph: (928) 722-6098 | San Jose Health Clinic, Llc 1962 E Juan Sanchez Blvd Ste 1 San Luis AZ 85349 Ph: (928) 722-6098 |
| NPI Number | 1770753162 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770753162 | NPI | - | NPPES |
| 838352 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25569 (Arizona) | Primary |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-722-6113 | |
Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 2, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Women's Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 3, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 S Oak Ave Ste 5, San Luis, AZ 85336 Phone: 928-315-7910 Fax: 928-722-6113 | |
Family Behavioral Integrated Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1453 N. Main Street, Suite 6, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-722-6113 | |
San Luis Walk-in Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbit Ln, San Luis, AZ 85336 Phone: 928-722-6112 Fax: 928-722-6113 |