Provider Demographics
NPI:1477437986
Name:TON CASA GRANDE HEALTH CENTER
Entity type:Organization
Organization Name:TON CASA GRANDE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERONIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-383-7200
Mailing Address - Street 1:TON SELLS HOSPITAL
Mailing Address - Street 2:HIGHWAY 86 AT TOPAWA ROAD
Mailing Address - City:SELLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85634
Mailing Address - Country:US
Mailing Address - Phone:520-383-7200
Mailing Address - Fax:520-496-3272
Practice Address - Street 1:TON CASA GRANDE HEALTH CENTER
Practice Address - Street 2:1876 E SABIN DR., UNIT SUITE C-2
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122
Practice Address - Country:US
Practice Address - Phone:520-383-7200
Practice Address - Fax:520-496-3272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TON SELLS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal