| Pinal Hispanic Council | |
|
107 East 4th Street Eloy AZ 85131-2500 | |
| (520) 466-7765 | |
| (520) 466-4475 |
| Full Name | Pinal Hispanic Council |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 East 4th Street, Eloy, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT & CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinal Hispanic Council Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Pinal Hispanic Council 107 East 4th Street Eloy AZ 85131-2500 Ph: (520) 466-7765 |
| NPI Number | 1235271404 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 4981742434 |
|---|---|
| Medicare Enrollment ID | O20091104000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235271404 | NPI | - | NPPES |
| OTC6037 | Other | AZ | ADHS/BMFL LICENSE |
| 688903 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3952 (Arizona) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stephen Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760432009 PECOS PAC ID: 8325943566 Enrollment ID: I20031202000076 |
| Provider Name | Andrea L Raby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679645782 PECOS PAC ID: 4981591708 Enrollment ID: I20040304000335 |
| Provider Name | Judith T Yurgel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679659916 PECOS PAC ID: 7618962077 Enrollment ID: I20040416000249 |
| Provider Name | Justine Confino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881781847 PECOS PAC ID: 2062485675 Enrollment ID: I20040812001330 |
| Provider Name | Melanie Villa Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134216104 PECOS PAC ID: 7012012537 Enrollment ID: I20070411000475 |
| Provider Name | Sylvia P Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578822680 PECOS PAC ID: 6901052166 Enrollment ID: I20120803000764 |
| Provider Name | Betty Louise Yurgel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003090739 PECOS PAC ID: 5496970212 Enrollment ID: I20140710000427 |
| Provider Name | Robin L Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629101217 PECOS PAC ID: 7911043252 Enrollment ID: I20150307000288 |
| Provider Name | Laura Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861893646 PECOS PAC ID: 7416274741 Enrollment ID: I20150326000791 |
| Provider Name | Comfort D Impraim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610239 PECOS PAC ID: 8820306533 Enrollment ID: I20150930000241 |
| Provider Name | Jane M Kinstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235521147 PECOS PAC ID: 1456651991 Enrollment ID: I20151204001668 |
| Provider Name | Kelly L Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083092100 PECOS PAC ID: 8325349285 Enrollment ID: I20151217002268 |
| Provider Name | Phillip Plemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871840199 PECOS PAC ID: 8921321043 Enrollment ID: I20160608000339 |
| Provider Name | Ian Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417402280 PECOS PAC ID: 8820374911 Enrollment ID: I20170403002154 |
| Provider Name | Erkan Caygoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356868160 PECOS PAC ID: 0547528218 Enrollment ID: I20171229002261 |
| Provider Name | Pinky R Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073063590 PECOS PAC ID: 5890055248 Enrollment ID: I20180205001257 |
| Provider Name | Cicili Arockiaraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567801 PECOS PAC ID: 9537421706 Enrollment ID: I20180328000996 |
| Provider Name | Lindsey M Retterath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417334970 PECOS PAC ID: 3971817925 Enrollment ID: I20180530003050 |
| Provider Name | Patricia I Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
| Provider Name | Margarita N Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134618242 PECOS PAC ID: 2961758511 Enrollment ID: I20180711003967 |
| Provider Name | Charles Christian Kohnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399027 PECOS PAC ID: 2961799192 Enrollment ID: I20180903000080 |
| Provider Name | Brijeshaben U Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538787072 PECOS PAC ID: 1759797053 Enrollment ID: I20210311001342 |
| Provider Name | Stacy Kit Rickerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275140972 PECOS PAC ID: 7911307863 Enrollment ID: I20210614003194 |
| Provider Name | Mosunmola Ogunyinmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495165 PECOS PAC ID: 3375945454 Enrollment ID: I20210712003661 |
| Provider Name | Christine M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659443810 PECOS PAC ID: 5890030712 Enrollment ID: I20210810001952 |
| Provider Name | William H Ruby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003149691 PECOS PAC ID: 5597806893 Enrollment ID: I20211029001373 |
| Provider Name | Scott Christopher Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700547353 PECOS PAC ID: 1850785395 Enrollment ID: I20220228001704 |
| Provider Name | Monica L Wooldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578898383 PECOS PAC ID: 1658523022 Enrollment ID: I20220930000283 |
| Provider Name | Jennifer Plenty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437878659 PECOS PAC ID: 6406223262 Enrollment ID: I20221108000633 |
| Provider Name | Hayley F Garigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235807983 PECOS PAC ID: 5193199610 Enrollment ID: I20230324001366 |
| Provider Name | Kathy Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982361127 PECOS PAC ID: 1153795596 Enrollment ID: I20230324002664 |
| Provider Name | Seena Sunny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164283818 PECOS PAC ID: 7113362534 Enrollment ID: I20240226001203 |
| Provider Name | Joy-anne Simone James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205381498 PECOS PAC ID: 2567742380 Enrollment ID: I20240229003657 |
| Provider Name | Martin Romeo Tamou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114785953 PECOS PAC ID: 1456791748 Enrollment ID: I20240503001093 |
| Provider Name | Jovan Martiza Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144796152 PECOS PAC ID: 0446691489 Enrollment ID: I20240508003141 |
| Provider Name | Teresa Canez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356505093 PECOS PAC ID: 9830633379 Enrollment ID: I20240626000535 |
| Provider Name | Jan Lamoreaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093985012 PECOS PAC ID: 6406390806 Enrollment ID: I20240626002991 |
| Provider Name | Toni Vivian Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598481822 PECOS PAC ID: 4880030212 Enrollment ID: I20241203000887 |
| Provider Name | Christi Lynn Layton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477353589 PECOS PAC ID: 7315460110 Enrollment ID: I20250402002303 |
| Provider Name | Philip Allen Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312577 PECOS PAC ID: 4486173457 Enrollment ID: I20250522001054 |
Luke's House For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N Sunshine Blvd, Eloy, AZ 85131 Phone: 520-866-1532 |