| Pasadera Presidio Pointe Site | |
|
275 W. Continental Rd. Suite 141 Green Valley AZ 85622-3666 | |
| (520) 628-4000 | |
| (520) 547-7003 |
| Full Name | Pasadera Presidio Pointe Site |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 275 W. Continental Rd., Green Valley, Arizona |
| Authorized Official Name and Position | Stephanie Oliver (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Contact | 5206283400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadera Presidio Pointe Site 2700 S 8th Ave Tucson AZ 85713-4730 Ph: (520) 618-8622 | Pasadera Presidio Pointe Site 275 W. Continental Rd. Suite 141 Green Valley AZ 85622-3666 Ph: (520) 628-4000 |
| NPI Number | 1396164455 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396164455 | NPI | - | NPPES |
| OTC6404 | Other | AZ | STATE LICENSE |
| 902838 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6404 (Arizona) | Primary |
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