University Medical Center Corporation

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

H-0134 Issued in AZ

Legal business name

UNIVERSITY MEDICAL CENTER CORPORATION

Practice address

1501 N. Campbell Avenue
Tucson, AZ 85724

Phone

(520) 694-6501

Fax

(520) 694-4085

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Misty Hansen

Title

Chief Financial Officer

Phone

(520) 694-4701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurene E Goll, MD

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1043278732
  NPD (past)
• Stacey L Yell, MD

  • Gynecology Physician
  • Tucson, AZ
  • NPI 1124124193
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1164584116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E. RIVER ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-694-1132",
            "fax_number": "520-694-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N. CAMPBELL AVENUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85724",
            "telephone_number": "520-694-6501",
            "fax_number": "520-694-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-694-4701"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "H-0134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "032316",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Medical Center
• University Medical Center
• University Medical Center Corp
• University Medical Center Corporation
• University Medical Center Corporation
• University Medical Center Corporation
• University Medical Center Corporation
• University Medical Center Corporation
• University Medical Center Tucson, Arizona
• University Medical Center U of Arizona

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.