TON SANTA ROSA HEALTH CENTER; NPI #1770581639

Contact Information

TON SANTA ROSA HEALTH CENTER

FEDERAL ROUTE 15, MILEPOST 12
SELLS, AZ 85634

Phone: 520-361-2403
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Public Health, Federal	261QP0904X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for TON SANTA ROSA HEALTH CENTER

NPI Number 1770581639

LBN Legal business name TON SANTA ROSA HEALTH CENTER

Authorized official VERONICA GERONIMO - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2005

Last updated 11/15/2024 - More than a year ago

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 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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