El Rio Southwest Dental Clinic

LBN: El Rio Santa Cruz Neighborhood Health Center
El Rio Southwest Dental Clinic is an health care organization with primary practice located at 1500 W Commerce Ct Bldg 03, Tucson AZ 85746-6015. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. El Rio Santa Cruz Neighborhood Health Center can be contacted via phone (520) 770-2786, or through Kuntz, Clinton via phone (520) 670-3909.

Contact Information

Primary practice address
1500 W Commerce Ct Bldg 03 Tucson AZ 85746-6015
Phone: (520) 770-2786
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuntz, Clinton
Phone: (520) 670-3909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1528487782
LBN Legal business name El Rio Santa Cruz Neighborhood Health Center
DBA Doing business as El Rio Southwest Dental Clinic
Authorized official Kuntz, Clinton
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 15th, 2014
Last updated Jan 24th, 2023 - about 2 years 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 1528487782 NPPES
Arizona MEDICAID 947949

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