Organization
FSP HEALTH MINISTRIES
Active
Parent organization
FSP HEALTH MINISTRIES
Other names
CAMILLUS HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FSP HEALTH MINISTRIES
Authorized official
RUDY VALENZUELA NP (OWNER)
(928) 627-2055
Entity
Organization
Contact information
Practice address
780 N CESAR CHAVEZ ST, SAN LUIS, AZ 85349
(928) 627-2055
(928) 627-2456
Mailing address
PO BOX 7053, SAN LUIS, AZ 85349-6805
(928) 627-2055
(928) 627-2456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1549
AZ
Other
Enumeration date
04/16/2007
Last updated
10/31/2016
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