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
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