Organization
TON SAN SIMON HEALTH CENTER
Active
Organization
TON SAN SIMON HEALTH CENTER
Active
Other names
SAN SIMON 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
HIGHWAY 86, MILEPOST 84, SELLS, AZ 85634
(520) 362-7007
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 547-8140
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D09569818
CLIA
AZ
05
—
358933
—
AZ
01
—
FACILITY NPI
1588834998
AZ
Enumeration date
03/03/2008
Last updated
11/18/2024
Update your record
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