NPIMap

Organization Active NPI

DHHS-PHS, IHS Tucson Area, IHS Tucson San Xavier Clinic

  • Driver
  • Tucson, AZ
National Provider Identifier
1285697151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Practice address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone
(520) 295-2427
Fax
(520) 295-2611
NPI assigned
Apr 10, 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. 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
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

7900 S J Stock Rd
Tucson, AZ 85746-7012

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
706921-01MedicaidAZ
147133-03MedicaidAZ
1437157302OtherAZFACILITY NPI#
AZ0209620OtherAZBC/BSAZ PROV NO

Other names 1

  • SAN XAVIER CLINIC OSP Other name

National Provider Directory

National Provider Directory
Tax ID family
DHHS-PHS IHS Tucson Area IHS Tucson San Xavier Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285697151",
    "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": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "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": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706921-01",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147133-03",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI#",
            "identifier": "1437157302",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSAZ PROV NO",
            "identifier": "AZ0209620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN XAVIER CLINIC OSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.