NPIMap

Organization Active NPI

Arizona Rehab Campus, LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1235657461
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARIZONA REHAB CAMPUS, LLC
Practice address
6944 E Tanque Verde Rd
Tucson, AZ 85715
Phone
(623) 326-1055
Fax
(480) 659-1598
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Ms. Nicole Williams
Title
Claims MGR
Phone
(520) 526-1028

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X OTC8336 AZ
Substance Abuse Rehabilitation Facility 324500000X OTC8336 AZ

Addresses

Primary practice location

6944 E Tanque Verde Rd
Tucson, AZ 85715

Mailing address

6944 E Tanque Verde Rd
Tucson, AZ 85715-5308
Phone (520) 526-1028

Other identifiers 1

IdentifierTypeStateIssuer
OTC8336OtherAZARIZONA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliams@azrehabcampus.com

National Provider Directory

National Provider Directory

Locations

6944 E Tanque Verde Rd
Bldg B
Tucson, AZ 85715

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": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1235657461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155308",
            "telephone_number": "520-526-1028",
            "fax_number": "520-777-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "623-326-1055",
            "fax_number": "480-659-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA REHAB CAMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "520-526-1028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "OTC8336",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "OTC8336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "OTC8336",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliams@azrehabcampus.com",
            "affiliation": "N",
            "address_1": "6944 E Tanque Verde Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 1, 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.