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DHHS-PHS IHS TUCSON AREA IHS TUCSON SAN XAVIER CLINIC NPI 1548223415


NPI Information

NPI: 1548223415
Provider Name: DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

Other Name: SAN XAVIER CLINIC PMSSP

Classification: Podiatrist - 213EP0504X
Entity Type: Organization

Specialization: Public Medicine

Address:
7900 S J STOCK RD
TUCSON, AZ
ZIP 85746
Phone: (520) 295-2427
Get Directions

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC is a public medicine podiatrist in Tucson, AZ. DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC NPI is 1548223415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is San Xavier Clinic Pmssp.

The provider's business location address is:

7900 S J STOCK RD
TUCSON, AZ
ZIP 85746-012
Phone: (520) 295-2427
Fax: (520) 295-2611

The provider's authorized official is Kurt Priessman .
The authorized official title is Accounting And Budget Officer and has the following contact phone number (520) 295-2427.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP0504XPodiatristPublic MedicineYes
2213E00000XPodiatristX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1706921-01MEDICAIDARIZONA
2AZ0209620OTHERARIZONABC/BSAZ PROV NO
3147133-03MEDICAIDARIZONA
41437157302OTHERARIZONAFACILITY NPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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