Organization
PINAL HISPANIC COUNCIL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE LOPEZ (CHIEF EXECUTIVE OFFICER)
(520) 721-1887
Entity
Organization
Contact information
Practice address
556 S ARIZONA BLVD, COOLIDGE, AZ 85128-5106
(520) 466-7765
(520) 466-4475
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164567
AHCCCS
AZ
01
—
OTC6003
ADHS/BMFL LICENSE
AZ
Enumeration date
09/20/2006
Last updated
07/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us