Provider Demographics
NPI:1609597335
Name:BARRIO HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BARRIO HEALTHCARE, LLC
Other - Org Name:BARRIO BABIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:520-869-3565
Mailing Address - Street 1:3112 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1613
Mailing Address - Country:US
Mailing Address - Phone:520-869-3565
Mailing Address - Fax:405-297-4928
Practice Address - Street 1:3112 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1613
Practice Address - Country:US
Practice Address - Phone:520-869-3565
Practice Address - Fax:833-471-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center