Organization Active NPI

Cochise Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1073565156
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
COCHISE SLEEP CENTER LLC
Practice address
2700 E Fry Blvd BLDG 2
Suite C2
Sierra Vista, AZ 85635-2826
Phone
(520) 439-8300
Fax
(520) 439-8303
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Jihad Georges Youssef, M.D.NPI 1457306789
Title
Sole Member
Phone
(520) 439-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X AZ Primary

Addresses

Primary practice location

2700 E Fry Blvd BLDG 2
Suite C2
Sierra Vista, AZ 85635-2826

Mailing address

PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070906000779 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5799878765 Practice locations: Sierra Vista, AZ
O20090108000618 AZ Part B Supplier - Clinic/Group Practice 5799878765 Receives reassigned benefits from 1 practitioner
Practice locations: Sierra Vista, AZ

National Provider Directory

National Provider Directory
Tax ID family
Cochise Sleep Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 N San Antonio Ave
Ste A
Douglas, AZ 85607
Phone (520) 439-8300

2700 E Fry Blvd
Ste 2
Sierra Vista, AZ 85635
Phone (520) 439-8300

2700 E Fry Blvd
Bldg 2
Sierra Vista, AZ 85635
Phone (520) 439-8300

2700 E Fry Blvd
Ste C2
Sierra Vista, AZ 85635
Phone (520) 439-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1073565156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD BLDG 2",
            "address_2": "SUITE C2",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826",
            "telephone_number": "520-439-8300",
            "fax_number": "520-439-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHISE SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "520-439-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.