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NPI Code Detail

MEDICARE: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER

MEDICARE: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558780023
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 1231
Second Line :
City : TUCSON
State : AZ
Zip : 85702-1231
Country : US
Telephone Number : 520-670-3909
Fax Number :
Provider Business Practice Location Address
First Line : 340 W PRINCE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-6168
Country : US
Telephone Number : 520-740-7715
Fax Number :
Authorized Official
Title or Position : CEO
Name : CLINTON G KUNTZ
Credential :
Telephone Number : 520-670-3909
Provider Enumeration Date : 04/14/2014
Last Update Date : 02/24/2026

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Directions to “EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER ” Practice Location

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