NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center, Inc

Doing business as El Rio Southwest Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1750672929
Registry record updated May 28, 2025
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, INC
Doing business as
El Rio Southwest Health Center
Practice address
1500 W Commerce CT
BLDG 01, 02
Tucson, AZ 85746-6015
Phone
(520) 806-2650
NPI assigned
Apr 22, 2011
Last updated
May 28, 2025By 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 May 28, 2025

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) 309-2012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
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 identifiers 1

IdentifierTypeStateIssuer
947949MedicaidAZ

Other names 1

  • EL RIO SOUTHWEST HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111004000190 AZ Part A Provider - Federally Qualified Health Center (FQHC) 6305739244 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750672929. Details of each certification follow.

Federally qualified health center certification: CCN 031897

Legal name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Doing business as
EL RIO SOUTHWEST HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 4, 2011
Last certification
Oct 4, 2011
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Mar 5, 1973 in AZ
Enrollment address
1500 W Commerce CT
Tucson, AZ 85746-6031

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

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 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Miguel Rojas Individual Corporate DirectorBoard Member Mar 31, 2011
Kirk Saunders Individual Corporate DirectorBoard Member Mar 31, 2011
Enrique Serna Individual Corporate DirectorBoard Member Mar 31, 2011
Annette Gracia Individual W-2 Managing EmployeeController May 1, 2016
Nancy Jean Johnson Individual Corporate OfficerCeo Oct 26, 2015
W-2 Managing EmployeeCeo Oct 26, 2015
Patricia Solis Individual Corporate DirectorBoard Member Mar 31, 2011
Douglas J Spegman Individual Corporate OfficerChief Clinical Officer Jun 1, 2016
W-2 Managing EmployeeChief Clinical Officer Jun 1, 2016
El Rio Santa Cruz Neighborhood Health Center, Inc. Organization, Tucson, AZ Corporation Operational/Managerial Control Mar 31, 2011
Frank Valenzuela Individual Corporate DirectorBoard Member Mar 31, 2011
Brian Flagg Individual Corporate DirectorBoard Member Mar 31, 2011
Melvin Reisinger Individual Corporate DirectorBoard Vice President Mar 31, 2011
Michael T Odum Individual Corporate DirectorBoard Member Mar 31, 2011

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Rio Community Health CenterTucson, AZ, CCN 031801 Federally qualified health center Operational/Managerial Control Sep 30, 2010
El Rio OB/GYN AssociatesTucson, AZ, CCN 031895 Federally qualified health center Operational/Managerial Control Mar 31, 2011
El Rio Community Health Center-SoutheastTucson, AZ, CCN 031894 Federally qualified health center Operational/Managerial Control Mar 31, 2011
El Pueblo Health CenterTucson, AZ, CCN 031892 Federally qualified health center Operational/Managerial Control Mar 31, 2011
El Rio Northwest Health CenterTucson, AZ, CCN 031899 Federally qualified health center Operational/Managerial Control Mar 31, 2011
El Rio Pascua YaquiTucson, AZ, CCN 031917 Federally qualified health center Operational/Managerial Control Oct 1, 1980
Health on BroadwayTucson, AZ, CCN 031945 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2017
El Rio Health CherrybellTucson, AZ, CCN 031984 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 18, 2019
Health on UniversityTucson, AZ, CCN 031987 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 10, 2019

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1750672929",
    "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"
        },
        {
            "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": "520-806-2650"
        }
    ],
    "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": "2011-04-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-309-2012"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": "OTC0788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947949",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL RIO SOUTHWEST HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.