NPI | 1750672929 |
---|---|
Doing Business As | EL RIO SOUTHWEST HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CLINTON KUNTZ CEO 520-309-2012 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC0788) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2011-04-22 |
Last Update Date | 2025-05-28 |