NPIMap

Organization Active NPI

St Elizabeths Health Center Inc

  • Community Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1235560830
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
OTC6842 Issued in AZ
Legal business name
ST ELIZABETHS HEALTH CENTER INC
Practice address
140 W Speedway Blvd
Suite #100
Tucson, AZ 85705-7698
Phone
(520) 628-7871
Fax
(520) 205-8461
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Ms. Mauricette Montredon
Title
Chief Executive Officer
Phone
(520) 628-7871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X OTC6842 AZ Primary

Addresses

Primary practice location

140 W Speedway Blvd
Suite #100
Tucson, AZ 85705-7698

Mailing address

140 W Speedway Blvd
Suite #100
Tucson, AZ 85705-7698
Phone (520) 628-7871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1235560830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W SPEEDWAY BLVD",
            "address_2": "SUITE #100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057698",
            "telephone_number": "520-628-7871",
            "fax_number": "520-205-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SPEEDWAY BLVD",
            "address_2": "SUITE #100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057698",
            "telephone_number": "520-628-7871",
            "fax_number": "520-205-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETHS HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "MONTREDON",
        "authorized_official_first_name": "MAURICETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-628-7871",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "OTC6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 11, 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.