Organization Active NPI

Our Town Family Center, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1316120728
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH2902 Issued in AZ
Legal business name
OUR TOWN FAMILY CENTER, INC.
Practice address
3830 E Bellevue St
Tucson, AZ 85716-4012
Phone
(520) 323-1708
Fax
(520) 323-9077
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Sue Krahe, MBA
Title
Executive Director
Phone
(520) 323-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH2902 AZ Primary

Addresses

Primary practice location

3830 E Bellevue St
Tucson, AZ 85716-4012

Mailing address

3830 E Bellevue St
Tucson, AZ 85716-4012
Phone (520) 323-1708

Other identifiers 1

IdentifierTypeStateIssuer
183837OtherAZAHCCCS

Other names 1

  • Our Family Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Our Family Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3830 E Bellevue St
Tucson, AZ 85716
Phone (520) 323-1708

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1316120728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 E BELLEVUE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164012",
            "telephone_number": "520-323-1708",
            "fax_number": "520-323-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 E BELLEVUE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164012",
            "telephone_number": "520-323-1708",
            "fax_number": "520-323-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR TOWN FAMILY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "KRAHE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-323-1708",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "183837",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Family Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2007; 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.