| Pascua Yaqui Tribe | |
|
4567 W Tetakusim Rd Tucson AZ 85746-9713 | |
| (520) 879-6060 | |
| (520) 879-6099 |
| Full Name | Pascua Yaqui Tribe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4567 W Tetakusim Rd, Tucson, Arizona |
| Authorized Official Name and Position | Linda Guerrero (DELEGATED OFFICIAL) |
| Authorized Official Contact | 5208796039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascua Yaqui Tribe 7490 S Camino De Oeste Tucson AZ 85746-9308 Ph: (520) 879-6163 | Pascua Yaqui Tribe 4567 W Tetakusim Rd Tucson AZ 85746-9713 Ph: (520) 879-6060 |
| NPI Number | 1073767984 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073767984 | NPI | - | NPPES |
| 443892 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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