| Mhc Westside Health Center | |
|
1707 W. Saint Marys Rd Ste 175 Tucson AZ 85745 | |
| (520) 616-6790 | |
| (520) 622-0849 |
| Full Name | Mhc Westside Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1707 W. Saint Marys Rd, Tucson, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhc Westside Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 616-6790 | Mhc Westside Health Center 1707 W. Saint Marys Rd Ste 175 Tucson AZ 85745 Ph: (520) 616-6790 |
| NPI Number | 1174111280 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20210209002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174111280 | NPI | - | NPPES |
| 090349 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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