Organization
PINAL HISPANIC COUNCIL
Active
Organization
PINAL HISPANIC COUNCIL
Active
Other names
PHC - Casa Grande IC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE M LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
1667 N TREKELL RD STE 101, CASA GRANDE, AZ 85122-2731
(520) 284-5436
(520) 836-5436
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH8501
STATE LICENSE
AZ
Enumeration date
03/08/2023
Last updated
10/27/2025
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