Cottonwood De Tucson

LBN: Cottonwood De Tucson, Inc
Cottonwood De Tucson is an health care organization with primary practice located at 4110 W Sweetwater Dr Bldg 1400, Tucson AZ 85745-9348. The organization recently has 3 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Hospitals / Psychiatric Hospital is the primary health care specialty. Cottonwood De Tucson, Inc can be contacted via phone (520) 743-0411, or through Welch, Brian C via phone (520) 743-0411.

Contact Information

Primary practice address
4110 W Sweetwater Dr Bldg 1400 Tucson AZ 85745-9348
Phone: (520) 743-0411
Fax: (520) 743-7991
Website:
Map and Directions
Authorized official contact:
Name: Welch, Brian C
Phone: (520) 743-0411

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X Arizona
Hospitals / Psychiatric Hospital 283Q00000X BH-073 Arizona
Hospitals / Psychiatric Hospital 283Q00000X IFBH6377 Arizona
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Arizona
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH-073 Arizona
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X Arizona
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X BH-073 Arizona

Profile Details

NPI number 1902974934
LBN Legal business name Cottonwood De Tucson, Inc
DBA Doing business as Cottonwood De Tucson
Authorized official Welch, Brian C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated May 9th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902974934 NPPES
Arizona Other BH073 AZ DEPT OF HEALTH SERVICE

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