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NPI Code Detail

MEDICARE: TON SAN XAVIER HEALTH CENTER

MEDICARE: TON SAN XAVIER 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
1261QP0904XFederal Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10325678OTHERAZNACADP#
2AZ0209600OTHERAZBC/BSAZ DENTAL PROV NO
3AZ0209620OTHERAZBC/BSAZ PROV NO
403D0864297OTHERAZCLIA #
51437157302OTHERAZFACILITY NPI #
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437157302
Entity Type Code : Organization
Provider Name (Legal Business Name) : TON SAN XAVIER HEALTH CENTER
Provider Business Mailing Address
First Line : 7900 S J STOCK RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-7012
Country : US
Telephone Number : 520-547-8140
Fax Number :
Provider Business Practice Location Address
First Line : 7900 S J STOCK RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-7012
Country : US
Telephone Number : 520-547-8140
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MRS. VERONICA GERONIMO
Credential :
Telephone Number : 520-383-7200
Provider Enumeration Date : 07/13/2005
Last Update Date : 11/15/2024

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Directions to “TON SAN XAVIER HEALTH CENTER ” Practice Location

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