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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225985989
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	:	1510 N STOCKTON HILL RD
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-5173
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

1275480923 — ELK RIDGE KINGMAN PHARMACY
Practice Location Address:

1510 N STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 520-670-3909
Practice Fax:

1275527764 — MRS. KATHLEEN SUZANNE FLOREA NP
Practice Location Address:

1510 STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 928-753-1177
Practice Fax: 928-753-1178

1598703977 — DR. JOE REN'E SERNA M.D.
Practice Location Address:

1510 STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 928-753-1177
Practice Fax: 928-753-1178

1124254123 — DR. TIFFANY E RUSSELL MD
Practice Location Address:

1510 N STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 928-753-1177
Practice Fax:

1982016697 — NORTH COUNTRY HEALTH CARE
Practice Location Address:

1510 N STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 928-753-1177
Practice Fax:

1326418526 — MR. SEAN L'HUILLIER SR. FNP-C
Practice Location Address:

1510 N STOCKTON HILL RD
KINGMAN, AZ
86401-5173

Practice Phone: 928-753-1177
Practice Fax:

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.