San Xavier Clinic Rrrsp

LBN: Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
San Xavier Clinic Rrrsp is an health care organization with primary practice located at 7900 S J Stock Rd , Tucson AZ 85746-7012. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1184687055
LBN Legal business name Dhhs-Phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic
DBA Doing business as San Xavier Clinic Rrrsp
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184687055 NPPES
Arizona Other AZ0209620 BC/BSAZ PROV NO
Arizona Other 1437157302 BC/BSAZ PROV NO
Arizona MEDICAID 706921-01 BC/BSAZ PROV NO
Arizona MEDICAID 147133-03 BC/BSAZ PROV NO

Popular Providers