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Contact Information

PASCUA YAQUI TRIBE
4728 W CALLE TETAKUSIM
TUCSON, AZ85757
 Phone: 520-879-6110
 Fax: 520-883-1057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PASCUA YAQUI TRIBE

NPI Number 1447828223
LBN Legal business name PASCUA YAQUI TRIBE
Authorized official LINDA GUERRERO - (DELEGATED OFFICIAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/16/2021
Last updated 05/14/2025 - More than a year ago
Identifiers
AZ Medicaid 101773
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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