NPIMap

Organization Active NPI

Arizona Rehab Campus, LLC

  • Special Hospital
  • Tucson, AZ
National Provider Identifier
1104373364
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
IFBH8264 Issued in AZ
Legal business name
ARIZONA REHAB CAMPUS, LLC
Practice address
6944 E Tanque Verde Rd
Tucson, AZ 85715
Phone
(844) 272-5608
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Ms. Nicole Williams
Title
Claims MGR
Phone
(520) 526-1028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X IFBH8264 AZ Primary
Substance Abuse Rehabilitation Facility 324500000X IFBH8264 AZ

Addresses

Primary practice location

6944 E Tanque Verde Rd
Tucson, AZ 85715

Mailing address

6944 E Tanque Verde Rd
Tucson, AZ 85715-5308
Phone (520) 526-1028

Other identifiers 1

IdentifierTypeStateIssuer
251258MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliams@azrehabcampus.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Arizona Rehab Campus5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

6944 E Tanque Verde Rd
Bldg E
Tucson, AZ 85715

Practitioners & affiliated clinicians

Practitioners 4

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1104373364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155308",
            "telephone_number": "520-526-1028",
            "fax_number": "520-777-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "844-272-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA REHAB CAMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "520-526-1028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "IFBH8264",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "IFBH8264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251258",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliams@azrehabcampus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6944 E Tanque Verde Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 4, 2019; 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.