MEDICARE: SAN LUIS WALK-IN CLINIC, INC.

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
1	261QB0400X	Birthing Clinic/Center

General Provider Information

NPI Number	:	1891653630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN LUIS WALK-IN CLINIC, INC.

Provider Business Mailing Address
First Line	:	PO BOX 617
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-0617
Country	:	US
Telephone Number	:	928-662-0406
Fax Number	:	928-662-0407

Provider Business Practice Location Address
First Line	:	250 S OAK AVE
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85336-0757
Country	:	US
Telephone Number	:	928-324-1080
Fax Number	:	928-324-1083

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	AMANDA AGUIRRE
Credential	:	RD
Telephone Number	:	928-315-7910

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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