El Rio Nw Dental Clinic

LBN: El Rio Santa Cruz Neighborhood Health Center
El Rio Nw Dental Clinic is an health care organization with primary practice located at 340 W Prince Rd , Tucson AZ 85705-6168. 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) 740-7715, or through Kuntz, Clinton via phone (520) 309-2012.

Contact Information

Primary practice address
340 W Prince Rd Tucson AZ 85705-6168
Phone: (520) 740-7715
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuntz, Clinton
Phone: (520) 309-2012

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1558780023
LBN Legal business name El Rio Santa Cruz Neighborhood Health Center
DBA Doing business as El Rio Nw Dental Clinic
Authorized official Kuntz, Clinton
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 14th, 2014
Last updated Mar 2nd, 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 1558780023 NPPES
Arizona MEDICAID 947986

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