SUMMIT BHC TUCSON LLC NPI 1407363195

NPI Information

NPI: 1407363195
Provider Name: SUMMIT BHC TUCSON LLC

Doing Business As: COTTONWOOD TUCSON OUTPATIENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4210 W SWEETWATER DRIVE
TUCSON, AZ
ZIP 85745
Phone: (877) 463-3553
Get Directions

SUMMIT BHC TUCSON LLC is a rehabilitation and substance use disorder clinic center in Tucson, AZ. SUMMIT BHC TUCSON LLC NPI is 1407363195. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottonwood Tucson Outpatient.

The provider's business location address is:

4210 W SWEETWATER DRIVE
TUCSON, AZ
ZIP 85745-348
Phone: (877) 463-3553

The provider's authorized official is Paul Gilbert .
The authorized official title is Chief Legal Officer and has the following contact phone number (615) 716-4924.

The CLIA number assigned to this NPI record is 03D1054193 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 9/29/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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

NPI Synchronization or Removal

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