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TWIN PEAKS FAMILY PRACTICE PC NPI 1942521406


NPI Information

NPI: 1942521406
Provider Name: TWIN PEAKS FAMILY PRACTICE PC

Former Legal Business Name: CONTINENTAL RANCH FAMILY PRACTICE PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2098559

Address:
2055 W HOSPITAL DR STE 195
TUCSON, AZ
ZIP 85704
Phone: (520) 297-1595
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TWIN PEAKS FAMILY PRACTICE PC is a family medicine in Tucson, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TWIN PEAKS FAMILY PRACTICE PC NPI is 1942521406. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Continental Ranch Family Practice Pc.

The provider's business location address is:

2055 W HOSPITAL DR STE 195
TUCSON, AZ
ZIP 85704-823
Phone: (520) 297-1595
Fax: (520) 572-2301

The provider's authorized official is Vivian Castillo .
The authorized official title is President and has the following contact phone number (520) 297-1595.

The CLIA number assigned to this NPI record is 03D2098559 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 12/3/2012.


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
1207Q00000XFamily MedicineYes

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
1Z139088MEDICARE PINARIZONA

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: 11/14/2023

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