Carondelet Health Network

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

H0090 Issued in AZ

Legal business name

CARONDELET HEALTH NETWORK

Practice address

1171 W Target Range Rd
Nogales, AZ 85621-2465

Phone

(520) 285-3000

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Tom R Pepping

Title

Cfo

Phone

(520) 872-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holy Cross Hospital Doing business as

Tax ID family

Holy Cross Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Holy Cross Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Nogales, AZ
  • NPI 1548348204
  NPD tax ID
• Holy Cross Hospital, Inc

  • General Acute Care Hospital
  • Nogales, AZ
  • NPI 1639240336
  NPD tax ID

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386721041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212465",
            "telephone_number": "520-285-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPPING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-872-7790"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": "H0090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZMEDHC",
            "identifier": "AZ0000210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Jo Brown, RN
• James Butler, MD
• Patricia Abigail Caballero, MA, NCC, LPC
• Swilma P Campos, RN
• Teresa Canez, LPC
• Carondelet Medical Group, Inc
• Charles L Carr, PHD, LISAC
• Casbra Behavioral Health, Inc.
• Melinda Maricela Castillo, LISAC, AGS
• Blanca Castro, RN

• Critical Access Hospital in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Critical Access Hospital in Arizona

• 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.