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Organization

ST ELIZABETHS HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAURICETTE MONTREDON (CHIEF EXECUTIVE OFFICER)
(520) 628-7871
Entity
Organization

Contact information

Practice address
140 W SPEEDWAY BLVD, STE #100, TUCSON, AZ 85705-7686
(520) 628-7871
Mailing address
140 W SPEEDWAY BLVD, STE #100, TUCSON, AZ 85705-7686
(520) 628-7871

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC0037
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
939173
AZ
Enumeration date
02/17/2015
Last updated
12/11/2019
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