NPIMap

Organization Active NPI

University Physicians Healthcare

Doing business as University Physicians Hospital @ Kino

  • General Acute Care Hospital
  • Tucson, AZ
National Provider Identifier
1104887199
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H3577 Issued in AZ
Legal business name
UNIVERSITY PHYSICIANS HEALTHCARE
Doing business as
University Physicians Hospital @ Kino
Practice address
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone
(520) 874-4135
Fax
(520) 874-7048
NPI assigned
Mar 29, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Sherrie L Motisko
Title
Contracts Operations and Special PR
Phone
(520) 874-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H3577 AZ Primary

Addresses

Primary practice location

2800 E Ajo Way
Tucson, AZ 85713-6204

Mailing address

2701 E Elvira Rd
Tucson, AZ 85706-7124
Phone (520) 874-4135

Other names 1

  • University Physicians Hospital @ Kino Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1104887199. Details of each certification follow.

Hospital certification: CCN 030009

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KINO COMMUNITY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 15, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 28, 1998
Beds
197
Ownership / control type
Local
Facility address
2800 East Ajo Way
Tucson, AZ 85713

Hospital certification: CCN 03002E

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNIVERSITY PHYSICIANS HOSPITAL AT KINO, THE
Certification status
Active
Provider type (POS)
Hospital
Participating since
Mar 15, 2005
Last certification
Mar 15, 2005
Beds
197
Facility address
2800 East Ajo Way
Tucson, AZ 85713

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1508 Alhambra Blvd
Ste 100
Sacramento, CA 95816

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104887199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E ELVIRA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067124",
            "telephone_number": "520-874-4135",
            "fax_number": "520-874-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-874-4135",
            "fax_number": "520-874-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIANS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOTISKO",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTRACTS OPERATIONS AND SPECIAL PR",
        "authorized_official_telephone_number": "520-874-2863"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Physicians Hospital @ Kino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.