Organization Active NPI

Transmed of Southern Arizona

  • Rural Health Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1114013232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
549694 Issued in AZ
Legal business name
TRANSMED OF SOUTHERN ARIZONA
Practice address
1100 Joshua Tree Dr
Sierra Vista, AZ 85635-1256
Phone
(520) 439-4340
Fax
(520) 458-0798
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hector Jesse Figueroa
Title
Ceo
Phone
(520) 439-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 549694 AZ Primary

Addresses

Primary practice location

1100 Joshua Tree Dr
Sierra Vista, AZ 85635-1256

Mailing address

1100 Joshua Tree Dr
Sierra Vista, AZ 85635-1256
Phone (520) 439-4340

Other identifiers 1

IdentifierTypeStateIssuer
549694OtherAZAHCCCS

Other names 1

  • TransMed 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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114013232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOSHUA TREE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351256",
            "telephone_number": "520-439-4340",
            "fax_number": "520-458-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOSHUA TREE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351256",
            "telephone_number": "520-439-4340",
            "fax_number": "520-458-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSMED OF SOUTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-439-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AZ",
            "license": "549694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "549694",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TransMed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.