Provider Type Icon

DHHS-PHS IHS TUCSON AREA IHS TUCSON SAN XAVIER CLINIC NPI 1629031596


NPI Information

NPI: 1629031596
Provider Name: DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

Other Name: SAN XAVIER CLINIC TTOTSP

Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Organization

Specialization: Laboratory Management

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 laboratory management specialist technologist pathology in Tucson, AZ. DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC NPI is 1629031596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is San Xavier Clinic Ttotsp.

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
1246QL0900XSpecialist/Technologist, PathologyLaboratory ManagementYes
2246QC1000XSpecialist/Technologist, PathologyChemistryX
3246QM0900XSpecialist/Technologist, PathologyMicrobiologyX
4246RP1900XTechnician, PathologyPhlebotomyX
5246RM2200XTechnician, PathologyMedical LaboratoryX
62471C3402XRadiologic TechnologistRadiographyX
7246YR1600XSpecialist/Technologist, Health InformationRegistered Record AdministratorX
8246YC3301XSpecialist/Technologist, Health InformationCoding Specialist, Hospital BasedX

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
1147133-03MEDICAIDARIZONA
2AZ0209620OTHERARIZONABC/BSAZ PROV NO
31437157302OTHERARIZONAFACILITY NPI #
4706921-01MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.