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Contact Information

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
7900 S J STOCK RD
TUCSON, AZ85746-7012
 Phone: 520-295-2427
 Fax: 520-295-2611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Community Health/Public Health

364SC1501X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

NPI # 1649233685
LBN Legal business name DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Authorized official KURT PRIESSMAN - (ACCOUNTING AND BUDGET OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
AZ Medicaid 147133-03
AZ Medicaid 706921-01
AZ Other AZ0209620 BC/BSAZ PROV NO
AZ Other 1437157302 FACILITY NPI #
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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