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 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optometric Assistant, Eye and Vision Services Providers / Optometric Technician. Eye and Vision Services Providers / Optometrist 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Optometric Assistant | 156FX1201X | ||
| Eye and Vision Services Providers / Optometric Technician | 156FX1202X |
Profile Details
| NPI number | 1124081187 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124081187 | NPPES |
| Arizona | Other | 1437157302 | FACILITY NPI # |
| Arizona | Other | AZ0209620 | FACILITY NPI # |
| Arizona | MEDICAID | 147133-03 | FACILITY NPI # |
| Arizona | MEDICAID | 706921-01 | FACILITY NPI # |
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