COTTONWOOD DE TUCSON INC NPI 1902974934

NPI Information

NPI: 1902974934
Provider Name: COTTONWOOD DE TUCSON, INC

Doing Business As: COTTONWOOD DE TUCSON

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
4110 W SWEETWATER DR
BLDG 1400
TUCSON, AZ
ZIP 85745
Phone: (520) 743-0411
Get Directions

COTTONWOOD DE TUCSON, INC 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. COTTONWOOD DE TUCSON, INC NPI is 1902974934. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottonwood De Tucson.

The provider's business location address is:

4110 W SWEETWATER DR
BLDG 1400
TUCSON, AZ
ZIP 85745-348
Phone: (520) 743-0411
Fax: (520) 743-7991

The provider's authorized official is Brian C Welch .
The authorized official title is Ceo and has the following contact phone number (520) 743-0411.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 5/9/2017.

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	283Q00000X	Psychiatric Hospital			ARIZONA	No
2	324500000X	Substance Abuse Rehabilitation Facility			ARIZONA	No
3	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children		ARIZONA	No
4	283Q00000X	Psychiatric Hospital		BH-073	ARIZONA	No
5	324500000X	Substance Abuse Rehabilitation Facility		BH-073	ARIZONA	No
6	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	BH-073	ARIZONA	No
7	283Q00000X	Psychiatric Hospital		IFBH6377	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	BH073	OTHER	ARIZONA	AZ DEPT OF HEALTH SERVICE

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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