Active NPI
Impact Medical Group
- Psychiatric Residential Treatment Facility
- Tucson, AZ
National Provider Identifier
1346706306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- IMPACT MEDICAL GROUP
- Practice address
- 7325 E Fayette St
Tucson, AZ 85730-2324 - Phone
- (520) 203-8101
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Angelina Sanchez
- Title
- Ceo
- Phone
- (520) 987-1818
National Provider Directory
National Provider DirectoryLocations
870 W Miracle Mile
Tucson, AZ 85705
Phone (520) 750-9667
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7325 E Fayette St
Tucson, AZ 85730-2324
Mailing address
2114 W Grant Rd # 78
Tucson, AZ 85745-1141
Phone (520) 987-1818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2023.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1346706306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 W GRANT RD # 78",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451141",
"telephone_number": "520-987-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7325 E FAYETTE ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857302324",
"telephone_number": "520-203-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "ANGELINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "520-987-1818"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"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 May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.