National Provider Identifier Database

TON SANTA ROSA HEALTH CENTER
Public Health, Federal


Contact Information

TON SANTA ROSA HEALTH CENTER
FEDERAL ROUTE 15, MILEPOST 12
SELLS, AZ85634
Phone: 520-361-2403
Fax:
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for TON SANTA ROSA HEALTH CENTER

NPI Number 1770581639
Legal business name
LBN
TON SANTA ROSA HEALTH CENTER
Authorized official VERONICA GERONIMO - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2005
Last updated 11/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 147141-03
  • AZ Other: AZ0109850 BC/BS AZ DENTAL PROV NO
  • AZ Other: AZ0490080 BC/BS AZ PROV NO
  • AZ Other: 03D0864300 CLIA #
  • AZ Other: 1770581639 FACILITY PROVIDER #
  • AZ Other: 0327177 NACADP#

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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