| Flowing Wells Family Health Center | |
|
1323 W Prince Rd Tucson AZ 85705-3114 | |
| (520) 887-0800 | |
| (520) 887-1393 |
| Full Name | Flowing Wells Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1323 W Prince Rd, Tucson, Arizona |
| Authorized Official Name and Position | Clinton Kuntz (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flowing Wells Family Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4111 | Flowing Wells Family Health Center 1323 W Prince Rd Tucson AZ 85705-3114 Ph: (520) 887-0800 |
| NPI Number | 1245399468 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 02/20/2014 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20070222000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245399468 | NPI | - | NPPES |
| 417786 | Medicaid | AZ | |
| 329592 | Other | AZ | AHCCCS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Arizona) | Primary |
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