| Kearny Clinic | |
|
100 S Tilbury Dr Kearny AZ 85137 | |
| (520) 363-5573 | |
| (520) 363-5611 |
| Full Name | Kearny Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S Tilbury Dr, Kearny, Arizona |
| Authorized Official Name and Position | Frank A Stapleton (REGIONAL CLINICS DIRECTOR) |
| Authorized Official Contact | 9284021131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kearny Clinic Po Box 519 Kearny AZ 85237-0519 Ph: (520) 363-5573 | Kearny Clinic 100 S Tilbury Dr Kearny AZ 85137 Ph: (520) 363-5573 |
| NPI Number | 1992967780 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 08/09/2018 |
| Medicare PECOS PAC ID | 0648181693 |
|---|---|
| Medicare Enrollment ID | O20081216000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992967780 | NPI | - | NPPES |
| 1992967780 | Other | NPI | |
| 934437 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0126 (Arizona) | Primary |
Virginia Rutz D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Tilbury Dr., Kearny, AZ 85237 Phone: 520-363-5573 Fax: 520-363-5611 | |
Jeff Crawford Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Airport Road, Kearny, AZ 85237 Phone: 520-363-9772 Fax: 520-363-9774 | |
Virginia Rutz Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Tilbury, Kearny, AZ 85237 Phone: 520-363-5573 Fax: 520-363-5611 |