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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

Podiatrist

213E00000X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
Indicates primary specialty

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

NPI Number 1548223415
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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