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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