DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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)

General Provider Information

NPI Number : 1912854696
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 : 520-309-2560
Provider Business Practice Location Address
First Line : 2920 N 4TH ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-1816
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position : CEO
Name : CLINTON G KUNTZ
Credential :
Telephone Number : 520-601-0607
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

Similar Medicare Providers

1982551651 — ELK RIDGE FLAGSTAFF PHARMACY
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 520-670-3909
Practice Fax:
1528165321 — ANNAMARIE KHOURY CNP
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 928-213-6100
Practice Fax:
1831192913 — KAREN HOLDER FNPC
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 928-213-6100
Practice Fax: 928-774-4808
1639179369 — DR. TERESA DENISE BERTSCH M.D.
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 928-522-9400
Practice Fax:
1780672006 — DR. LINDA LEE NASSIF MD
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 928-213-6100
Practice Fax: 928-774-4808
1134119258 — DR. ERIC HENLEY M.D.
Practice Location Address:
2920 N 4TH ST
FLAGSTAFF, AZ
86004-1816
Practice Phone: 928-213-6100
Practice Fax: 928-774-4808

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

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.