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Contact Information

STATE OF ARIZONA/STATE DEPT OF FINANCE
555 EAST AJO WAY
TUCSON, AZ85713
 Phone: 520-638-2150
 Fax: 520-638-2166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for STATE OF ARIZONA/STATE DEPT OF FINANCE

NPI # 1336444181
LBN Legal business name STATE OF ARIZONA/STATE DEPT OF FINANCE
Authorized official BRIDGETT TUCKER - (REGIONAL BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2011
Last updated 05/26/2026 - About 2 weeks ago
Identifiers
AZ License # NCI-212
AZ License # NCI212
AZ Medicaid 691486
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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