Organization
SAN LUIS WALK-IN CLINIC, INC.
Active
Parent organization
SAN LUIS WALK-IN CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN LUIS WALK-IN CLINIC, INC.
Authorized official
AMANDA AGUIRRE RD (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
1896 E BABBIT LN, SAN LUIS, AZ 85336-7820
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC3905
ADHS LICENSE
AZ
Enumeration date
07/19/2011
Last updated
09/07/2023
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