NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center

Doing business as El Rio Southwest Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1174927727
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OTC0788 Issued in AZ
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Doing business as
El Rio Southwest Health Center
Practice address
1500 W Commerce CT
BLDG 01, 02
Tucson, AZ 85746-6015
Phone
(520) 309-3006
NPI assigned
Oct 10, 2014
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clinton Kuntz
Title
Ceo
Phone
(520) 670-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OTC0788 AZ Primary

Addresses

Primary practice location

1500 W Commerce CT
BLDG 01, 02
Tucson, AZ 85746-6015

Mailing address

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909

Other names 1

  • EL RIO SOUTHWEST HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Rio Health Ctr59 organizations share this tax ID, including this one
Part of
El Rio Health Ctr

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1174927727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021231",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT",
            "address_2": "BLDG 01, 02",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466015",
            "telephone_number": "520-309-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER",
        "enumeration_date": "2014-10-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-670-3909"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": "OTC0788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL RIO SOUTHWEST HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EL RIO SOUTHWEST HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.