NPIMap

Organization Active NPI

DHHS-PHS, IHS Tucson Area, IHS Tucson

  • Nurse's Aide
  • Sells, AZ
National Provider Identifier
1174586820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
Practice address
Highway 86 at Topawa Road
Sells, AZ 85634
Phone
(520) 383-7251
Fax
(520) 383-7216
NPI assigned
Apr 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Kurt Priessman, B.A., M.B.A., C.P.M.
Title
Accounting and Budget Officer
Phone
(520) 295-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

Highway 86 at Topawa Road
Sells, AZ 85634

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2427

Other identifiers 4

IdentifierTypeStateIssuer
AZ0209580OtherAZBC/BSAZ PROV NO
1487652426OtherAZFACILITY NPI#
020579-03MedicaidAZ
706921-01MedicaidAZ

Other names 1

  • SELLS INDIAN HOSPITAL NSRP Other name

National Provider Directory

National Provider Directory
Tax ID family
DHHS-Phsihs Tucson Area IHS Tucson16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174586820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 86 AT TOPAWA ROAD",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-7251",
            "fax_number": "520-383-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS-PHS, IHS TUCSON AREA, IHS TUCSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIESSMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "ACCOUNTING AND BUDGET OFFICER",
        "authorized_official_telephone_number": "520-295-2427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., M.B.A., C.P.M."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSAZ PROV NO",
            "identifier": "AZ0209580",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI#",
            "identifier": "1487652426",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020579-03",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706921-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELLS INDIAN HOSPITAL NSRP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sells, 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.