Organization
TON SAN XAVIER HEALTH CENTER
Active
Other names
SAN XAVIER HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA GERONIMO (CHIEF EXECUTIVE OFFICER)
(520) 383-7200
Entity
Organization
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 547-8140
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 547-8140
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325678
NACADP#
AZ
01
—
03D0864297
CLIA #
AZ
01
—
1437157302
FACILITY NPI #
AZ
05
—
147133-03
—
AZ
01
—
AZ0209600
BC/BSAZ DENTAL PROV NO
AZ
01
—
AZ0209620
BC/BSAZ PROV NO
AZ
Enumeration date
07/13/2005
Last updated
11/15/2024
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