Ton Santa Rosa Health Center Pharmacy

LBN: Ton Santa Rosa Health Center
Ton Santa Rosa Health Center Pharmacy is an health care organization with primary practice located at Hc01 Highway 15 , Sells AZ 85634. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Ton Santa Rosa Health Center can be contacted via phone (520) 383-5570, or through Shanley, Diane Marie via phone (520) 383-7285.

Contact Information

Primary practice address
Hc01 Highway 15 Sells AZ 85634
Phone: (520) 383-5570
Fax: (520) 383-5572
Website:
Map and Directions
Authorized official contact:
Name: Shanley, Diane Marie
Phone: (520) 383-7285

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1326080425
LBN Legal business name Ton Santa Rosa Health Center
DBA Doing business as Ton Santa Rosa Health Center Pharmacy
Authorized official Shanley, Diane Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 13th, 2018 - about 6 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 1326080425 NPPES
Arizona MEDICAID 02057901
Arizona Other 1991503

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