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Contact Information

DESERT SENITA COMMUNITY HEALTH CENTER
410 N MALACATE ST
AJO, AZ85321-2254
 Phone: 520-387-5651
 Fax: 520-387-5347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for DESERT SENITA COMMUNITY HEALTH CENTER

NPI # 1114037496
LBN Legal business name DESERT SENITA COMMUNITY HEALTH CENTER
Authorized official JENNIFER WARD - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 10/02/2025 - About 8 months ago
Identifiers
AZ License # OTC-0274
AZ Medicaid 155681
AZ Medicaid 913034
AZ Other AZ0910930 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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