NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center, Inc

Doing business as Birth & Womens Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1255518528
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OTC 5028 Issued in AZ
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
Doing business as
Birth & Womens Center, Inc
Practice address
5979 E Grant Rd #107
Tucson, AZ 85712-2368
Phone
(520) 795-9912
Fax
(520) 670-3792
NPI assigned
Jan 29, 2008
Last updated
Aug 20, 2016By 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 Aug 20, 2016

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

Authorized official

Name
Mrs. Nancy Johnson
Title
Ceo
Phone
(520) 309-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OTC 5028 AZ Primary

Addresses

Primary practice location

5979 E Grant Rd #107
Tucson, AZ 85712-2368

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 795-9912

Other identifiers 1

IdentifierTypeStateIssuer
947879MedicaidAZ

Other names 1

  • Birth & Womens Center, Inc Doing business as

National Provider Directory

National Provider Directory
Part of
El Rio OBGYN Associates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1255518528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-795-9912",
            "fax_number": "520-670-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 E GRANT RD #107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122368",
            "telephone_number": "520-795-9912",
            "fax_number": "520-670-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER",
        "enumeration_date": "2008-01-29",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-309-2012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": "OTC 5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947879",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birth & Womens Center, Inc",
            "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 Aug 20, 2016; 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.