| Wilmot Family Health Center | |
|
899 N Wilmot Rd Ste B Tucson AZ 85711-1712 | |
| (520) 290-1100 | |
| (520) 290-8997 |
| Full Name | Wilmot Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 899 N Wilmot Rd Ste B, 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 |
|---|---|
| Wilmot Family Health Center Po Box 188 Marana AZ 85653-0188 Ph: (520) 290-1100 | Wilmot Family Health Center 899 N Wilmot Rd Ste B Tucson AZ 85711-1712 Ph: (520) 290-1100 |
| NPI Number | 1295986735 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20090429000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295986735 | NPI | - | NPPES |
| 329592 | Other | AZ | AHCCCS GROUP NUMBER |
| 929398 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC5399 (Arizona) | Primary |
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