Organization
VALLE DEL SOL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RAZO (DIRECTOR OF CONTRACTS)
(602) 258-6797
Entity
Organization
Contact information
Practice address
334 W 10TH PL STE 100, MESA, AZ 85201-3499
(602) 258-6797
(602) 248-8113
Mailing address
3877 N 7TH ST STE 400, PHOENIX, AZ 85014-5061
(602) 258-6797
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871351
—
AZ
Enumeration date
03/22/2018
Last updated
06/07/2024
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