PASCUA YAQUI TRIBE NPI 1871623983

NPI Information

NPI: 1871623983
Provider Name: PASCUA YAQUI TRIBE

Other Name: HEALTH SERVICES DIVISION

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7490 S CAMINO DE OESTE
TUCSON, AZ
ZIP 85746
Phone: (520) 879-6000
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PASCUA YAQUI TRIBE is a dental clinic center in Tucson, AZ. PASCUA YAQUI TRIBE NPI is 1871623983. The provider is registered as an organization entity type.
The provider Other Name Is Health Services Division.

The provider's business location address is:

7490 S CAMINO DE OESTE
TUCSON, AZ
ZIP 85746-308
Phone: (520) 879-6000
Fax: (520) 883-1057

The provider's authorized official is Angela Gomez .
The authorized official title is Executive Director and has the following contact phone number (520) 879-6000.

The enumeration date for this NPI number is 3/7/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D2306	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65978	OTHER	ARIZONA	METLIFE DENTAL
2	894388	MEDICAID	ARIZONA

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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