Active NPI
Connections Southernaz, LLC
- Psychiatric Hospital
- Tucson, AZ
National Provider Identifier
1104241082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- IFBH6346
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896670 | Medicaid | AZ |
Other names 1
- ConnectionsAZ, Inc.
National Provider Directory
National Provider DirectoryNPI 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.