Organization
DESERT SENITA COMMUNITY HEALTH CENTER
Active
Organization
DESERT SENITA COMMUNITY HEALTH CENTER
Active
Other names
DESERT SENITA COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WARD (CFO)
(520) 387-5651
Entity
Organization
Contact information
Practice address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-5347
Mailing address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-5347
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC-0274
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155681
—
AZ
05
—
913034
—
AZ
01
—
AZ0910930
BCBS
AZ
Enumeration date
08/30/2006
Last updated
10/02/2025
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