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SONORA BEHAVIORAL HEALTH HOSPITAL LLC NPI 1750466892


NPI Information

NPI: 1750466892
Provider Name: SONORA BEHAVIORAL HEALTH HOSPITAL, LLC

Doing Business As: SONORA BEHAVIORAL HEALTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 03D0971569

Address:
6050 N CORONA RD
#3
TUCSON, AZ
ZIP 85704
Phone: (520) 469-8700
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SONORA BEHAVIORAL HEALTH HOSPITAL, LLC is a psychiatric hospital in Tucson, AZ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SONORA BEHAVIORAL HEALTH HOSPITAL, LLC NPI is 1750466892. The provider is registered as an organization entity type.
The provider Is Doing Business As Sonora Behavioral Health.

The provider's business location address is:

6050 N CORONA RD
#3
TUCSON, AZ
ZIP 85704-096
Phone: (520) 469-8700
Fax: (520) 469-8708

The provider's authorized official is Brian P. Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 03D0971569 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/26/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalSH-4089ARIZONAYes

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
1172145MEDICAIDARIZONA
2AZ0206281OTHERARIZONA BCBS

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.