Organization Active NPI

Cornerstone Hospital of Southeast Arizona LLC

Doing business as Cornerstone Hospital of Southeast Arizona

  • Long Term Care Hospital
  • Tucson, AZ
National Provider Identifier
1043264278
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
SH-3843 Issued in AZ
Legal business name
CORNERSTONE HOSPITAL OF SOUTHEAST ARIZONA LLC
Doing business as
Cornerstone Hospital of Southeast Arizona
Practice address
7220 E Rosewood St
Tucson, AZ 85710-1350
Phone
(520) 546-4595
Fax
(520) 290-1465
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lynn Hudson
Title
Central Business Office Director
Phone
(469) 621-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X SH-3843 AZ Primary

Addresses

Primary practice location

7220 E Rosewood St
Tucson, AZ 85710-1350

Mailing address

2200 Ross Ave
Suite 5400
Dallas, TX 75201-7918
Phone (469) 621-6700

Other identifiers 1

IdentifierTypeStateIssuer
004042MedicaidAZ

Other names 1

  • Cornerstone Hospital of Southeast Arizona Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1043264278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROSS AVE",
            "address_2": "SUITE 5400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017918",
            "telephone_number": "469-621-6700",
            "fax_number": "469-621-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 E ROSEWOOD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101350",
            "telephone_number": "520-546-4595",
            "fax_number": "520-290-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOSPITAL OF SOUTHEAST ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CENTRAL BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "469-621-6716",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AZ",
            "license": "SH-3843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Hospital of Southeast Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.