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CH09016P EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER (Active)
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Main Details
Name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Subdivision Name
EL RIO NORTHWEST CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001347
340B ID
CH09016P
Grant Number
H80CS00230
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
5/14/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
El RIo Health
Clinton Kuntz, CEO
(520) 670-3909
Primary Contact
El Rio Santa Cruz Neighborhood Health Center
Ocie Wilson, Pharmacy Director
(520) 309-3923
Addresses
Street Address
320 W. PRINCE RD
TUCSON, AZ 85705
Billing Address
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
450 W Paseo Redondo
TUCSON, AZ, AZ 85701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/7/12 - Added Medicaid and NPI #'s, changed contact phone number. CORRECTED ENTITY NAME
05/07/2012
CORRECTED ENTITY NAME
05/14/2004
May 2025
May 2025
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