| Ajo Community Health Center | |
|
1269 N Promenade Pkwy Ste C03 Casa Grande AZ 85194-5423 | |
| (520) 387-5651 | |
| Not Available |
| Full Name | Ajo Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1269 N Promenade Pkwy Ste C03, Casa Grande, Arizona |
| Authorized Official Name and Position | Daniel Barbara (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5203875651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajo Community Health Center 410 N Malacate St Ajo AZ 85321-2254 Ph: (520) 387-5651 | Ajo Community Health Center 1269 N Promenade Pkwy Ste C03 Casa Grande AZ 85194-5423 Ph: (520) 387-5651 |
| NPI Number | 1891512927 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/22/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891512927 | NPI | - | NPPES |
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