Healthcare Provider Details

I. General information

NPI: 1588834998
Provider Name (Legal Business Name): TON SAN SIMON HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 11/18/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIGHWAY 86, MILEPOST 84
SELLS AZ
85634
US

IV. Provider business mailing address

7900 S J STOCK RD
TUCSON AZ
85746-7012
US

V. Phone/Fax

Practice location:
  • Phone: 520-362-7007
  • Fax:
Mailing address:
  • Phone: 520-547-8140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateAZ

VIII. Authorized Official

Name: MRS. VERONICA GERONIMO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 520-383-7200