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 only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as 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
Fax: (520) 295-2611
Website:
Authorized official contact:
Name: Priessman, Kurt B.A., M.B.A., C.P.M.

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1841253887
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 1841253887 NPPES
Arizona Other 1487652426 FACILITY NPI#
Arizona Other AZ0209580 FACILITY NPI#
Arizona MEDICAID 706921-01 FACILITY NPI#
Arizona MEDICAID 020579-03 FACILITY NPI#

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