NPIMap

Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center Inc

Doing business as Elk Ridge Holbrook

  • Federally Qualified Health Center (FQHC)
  • Holbrook, AZ
National Provider Identifier
1790632461
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER INC
Doing business as
Elk Ridge Holbrook
Practice address
2109 Navajo Blvd
Holbrook, AZ 86025-1822
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Mar 12, 2026
Last updated
May 3, 2026By 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 3, 2026

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

Authorized official

Name
Clinton G Kuntz
Title
Ceo
Phone
(520) 601-0607

Specialties & licenses 1

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

Addresses

Primary practice location

2109 Navajo Blvd
Holbrook, AZ 86025-1822

Mailing address

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

Other names 1

  • Elk Ridge Holbrook Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521003524 AZ Part A Provider - Federally Qualified Health Center (FQHC) 6305739244 Practice locations: Holbrook, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790632461. Details of each certification follow.

Federally qualified health center certification: CCN 031089

Legal name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Doing business as
ELK RIDGE HOLBROOK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 2026
Last certification
May 13, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2109 Navajo Blvd
Holbrook, AZ 86025-1822

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

Locations

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

Ownership & related parties

All disclosed owners & managing parties 15

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 May 25, 1989
Ana a Albelais Rodriguez Individual Corporate DirectorBoard Member Oct 29, 2020
Enrique Serna Individual Corporate DirectorBoard Member Feb 26, 2009
Micah Mortensen Individual Corporate DirectorBoard Member Dec 9, 2021
Clinton Kuntz Individual Corporate OfficerChief Executive Officer Aug 1, 2022
W-2 Managing EmployeeAd; Aug 1, 2022
Sandra Leal Individual Corporate DirectorBoard Member Sep 28, 2023
Robert Rauh Individual Corporate DirectorBoard Member Aug 27, 2015
Douglas J Spegman Individual Corporate OfficerChief Medical Officer Aug 1, 1994
W-2 Managing EmployeeMD; Aug 1, 1994
Richard R Ploski Individual Corporate DirectorBoard Member Jun 26, 2024
Brian Flagg Individual Corporate DirectorBoard Member Apr 29, 1999
Alec Berens Individual Corporate DirectorBoard Member Sep 29, 2016
Francisco Munoz Individual Corporate DirectorBoard Member Jan 27, 2011
Hal Strich Individual Corporate DirectorBoard Member Aug 27, 2015
Dina Rojas-Sanchez Individual Corporate DirectorBoard Member Dec 9, 2021
Jody Yarborough Individual Corporate OfficerChief Financial Officer Oct 23, 2023
W-2 Managing EmployeeAd; Oct 23, 2023

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 10

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 Southwest Health CenterTucson, AZ, CCN 031897 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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777766400000",
    "number": "1790632461",
    "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": "2109 NAVAJO BLVD",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251822",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "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": "2026-03-12",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-601-0607"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Ridge Holbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holbrook, AZ

Sources for this page

Verify at the official NPI Registry.