NPI | 1265836811 |
---|---|
Doing Business As | EL RIO NORTHWEST HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CLINTON KUNTZ CEO 520-670-3909 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC3588) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-01-24 |