Pascua Yaqui Tribe Path Ttp

LBN: Pascua Yaqui Tribe Path Ttp
Pascua Yaqui Tribe Path Ttp is an health care organization with primary practice located at 7490 S Camino De Oeste 7402 S. Camino Vahcom, Tucson AZ 85746-9308. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Pascua Yaqui Tribe Path Ttp can be contacted via phone (520) 879-6060, or through Rivera, Rosa M via phone (520) 879-6060.

Contact Information

Primary practice address
7490 S Camino De Oeste 7402 S. Camino Vahcom Tucson AZ 85746-9308
Phone: (520) 879-6060
Fax: (520) 879-6099
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Rosa M
Phone: (520) 879-6060

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1588879159
LBN Legal business name Pascua Yaqui Tribe Path Ttp
DBA Doing business as
Authorized official Rivera, Rosa M
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1588879159 NPPES
Arizona MEDICAID 054317
Arizona MEDICAID 218075
Arizona MEDICAID 846727

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