Organization Active NPI

Connections Southernaz, LLC

  • Psychiatric Hospital
  • Tucson, AZ
National Provider Identifier
1104241082
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
IFBH6346 Issued in AZ
Legal business name
CONNECTIONS SOUTHERNAZ, LLC
Practice address
2802 E District St
Tucson, AZ 85714-2081
Phone
(602) 427-4600
Fax
(866) 882-5456
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dixie Lovrien
Title
Credentialing Manager
Phone
(602) 253-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X IFBH6346 AZ Primary

Addresses

Primary practice location

2802 E District St
Tucson, AZ 85714-2081

Mailing address

3030 N Central Ave Ste 1407
Phoenix, AZ 85012-2720
Phone (602) 253-5100

Other identifiers 1

IdentifierTypeStateIssuer
896670MedicaidAZ

Other names 1

  • ConnectionsAZ, Inc. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1104241082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122720",
            "telephone_number": "602-253-5100",
            "fax_number": "866-882-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "602-427-4600",
            "fax_number": "866-882-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS SOUTHERNAZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "LOVRIEN",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-253-5100"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "IFBH6346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConnectionsAZ, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 2, 2014; 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.