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CH09016A 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 SOUTHWEST MEDICAL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003194
340B ID
CH09016A
Grant Number
H80CS00230
Additional Details
Current Program Status
Active
Registration Date
10/1/1995
Participating Start Date
10/1/1995
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
1500 W COMMERCE CT
TUCSON, AZ 85746
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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5/4/12 - Added NPI #'s, changed sub-division name and AO phone #. 5/14/04 MOD ENT NAME; 7/20/07 CONVERTED ADDR LINE 1 TO BILL TO, MOVED ADDR LINE 2 TO CE ADDR
05/04/2012
5/14/04 MOD ENT NAME; 7/20/07 CONVERTED ADDR LINE 1 TO BILL TO, MOVED ADDR LINE 2 TO CE ADDR
07/20/2007
May 2025
May 2025
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