Organization Active NPI

El Rio Santa Cruz Neighborhood Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
National Provider Identifier
1912440975
Registry record updated May 28, 2025
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
Practice address
1 W Broadway Blvd
Tucson, AZ 85701-3029
Phone
(520) 670-3909
NPI assigned
Nov 23, 2016
Organization subpart
No

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 1

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

Addresses

Primary practice location

1 W Broadway Blvd
Tucson, AZ 85701-3029

Mailing address

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

Other names 1

  • HEALTH ON BROADWAY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040205000098 AZ Part B Supplier - Clinic/Group Practice 6305739244 Receives reassigned benefits from 474 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ
O20170119001501 AZ Part A Provider - Federally Qualified Health Center (FQHC) 6305739244 Practice locations: Tucson, AZ

Federally qualified health center certification: CCN 031945

Legal name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Doing business as
HEALTH ON BROADWAY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 23, 2016
Last certification
Dec 23, 2016
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Mar 5, 1973 in AZ
Enrollment address
1 W Broadway Blvd
Tucson, AZ 85701-3029

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

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2123946El Rio Health Center - Health on Broadway1 West Broadway, Tucson, AZ 85701Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
El Rio OBGYN Associates59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 19

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
Kathryn Beatty Individual Corporate DirectorBoard Member May 24, 2012
Kirk Saunders Individual Corporate DirectorBoard Member May 26, 1994
Rocio Galvez Individual Corporate DirectorBoard Member Feb 28, 2013
Enrique Serna Individual Corporate DirectorBoard Member Feb 26, 2009
Gail Roberts Individual Corporate DirectorBoard Member May 27, 1993
Annette Gracia Individual W-2 Managing EmployeeController May 1, 2016
Barbara Soehnlen Individual Corporate DirectorBoard Member Jun 26, 2005
Robert D Ramirez Individual Corporate DirectorBoard Member Feb 27, 2014
Robert Rauh Individual Corporate DirectorBoard Member Aug 27, 2015
Stephen Eggen Individual Corporate DirectorBoard Member Apr 24, 2003
Douglas J Spegman Individual Corporate OfficerChief Clinical Officer Jun 1, 2016
El Rio Santa Cruz Neighborhood Health Center, Inc. Organization, Tucson, AZ Non-profit Operational/Managerial Control Jan 1, 2017 100%
Frank Valenzuela Individual Corporate DirectorBoard Member Sep 25, 2003
Andrea Romero Individual Corporate DirectorBoard Member Mar 25, 2015
Brian Flagg Individual Corporate DirectorBoard Member Apr 29, 1999
Melvin Reisinger Individual Corporate DirectorBoard Member Jun 26, 2005
Francisco Munoz Individual Corporate DirectorBoard Member Jan 27, 2011
Hal Strich Individual Corporate DirectorBoard Member Aug 27, 2015

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 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
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 293

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 293

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1912440975",
    "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": "1 W BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857013029",
            "telephone_number": "520-670-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH ON BROADWAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.