Organization
SAN LUIS WALK-IN CLINIC, INC.
Active
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 R.D. (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
214 W MAIN ST, SOMERTON, AZ 85350-6329
(928) 627-1120
(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
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943699
—
AZ
01
—
OTC3969
ADHS LICENSE
AZ
Enumeration date
07/19/2011
Last updated
09/07/2023
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