San Xavier Clinic

LBN: Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
San Xavier Clinic is an health care organization with primary practice located at 7900 S J Stock Rd , Tucson AZ 85746-7012. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic can be contacted via phone (520) 295-2427, or through Priessman, Kurt via phone (520) 295-2427.

Contact Information

Primary practice address
7900 S J Stock Rd Tucson AZ 85746-7012
Phone: (520) 295-2427
Fax: (520) 295-2611
Website:
Map and Directions
Authorized official contact:
Name: Priessman, Kurt B.A., M.B.A., C.P.M.
Phone: (520) 295-2427

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1043273006
LBN Legal business name Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
DBA Doing business as San Xavier Clinic
Authorized official Priessman, Kurt B.A., M.B.A., C.P.M.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1043273006 NPPES
Arizona Other 1437157302 FACILITY NPI #
Arizona MEDICAID 147133-03 FACILITY NPI #
Arizona Other AZ0929620 FACILITY NPI #
Arizona Other 0325678 FACILITY NPI #
Arizona MEDICAID 706921-01 FACILITY NPI #

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