Desert Senita Community Health Center

LBN: Ajo Community Health Center
Desert Senita Community Health Center is an health care organization with primary practice located at 410 N Malacate St , Ajo AZ 85321-2254. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Ajo Community Health Center can be contacted via phone (520) 387-5651, or through Barbara, Daniel via phone (520) 387-5651.

Contact Information

Primary practice address
410 N Malacate St Ajo AZ 85321-2254
Phone: (520) 387-5651
Fax: (520) 387-5347
Website:
Map and Directions
Authorized official contact:
Name: Barbara, Daniel
Phone: (520) 387-5651

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X OTC-0274 Arizona

Profile Details

NPI number 1114037496
LBN Legal business name Ajo Community Health Center
DBA Doing business as Desert Senita Community Health Center
Authorized official Barbara, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 8th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114037496 NPPES
Arizona MEDICAID 155681
Arizona Other AZ0910930

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