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Organization

EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC

Active
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
Other names
EL RIO COMMUNITY HEALTH CENTER-SOUTHEAST
Organization subpart
Yes

Provider details

NPI number
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
Authorized official
CLINTON KUNTZ (CEO)
(520) 309-2012
Entity
Organization

Contact information

Practice address
6950 E GOLF LINKS RD, TUCSON, AZ 85730-1017
(520) 309-3210
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC4681
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
947895
AZ
Enumeration date
04/22/2011
Last updated
03/02/2023
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  • EDI platform