NPIMap

Organization Active NPI

Carondelet Health Network

Doing business as O'Rielly Transitions Intensive Outpatient Program

  • Psychiatric Hospital Unit
  • Tucson, AZ
National Provider Identifier
1417290958
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
BH4206 Issued in AZ
Legal business name
CARONDELET HEALTH NETWORK
Doing business as
O'Rielly Transitions Intensive Outpatient Program
Practice address
350 N Wilmot Rd
Suite 150-23a
Tucson, AZ 85711-2602
Phone
(520) 873-3000
NPI assigned
Apr 3, 2013
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Mr. Alan Strauss
Title
Cfo
Phone
(520) 872-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X BH4206 AZ Primary

Addresses

Primary practice location

350 N Wilmot Rd
Suite 150-23a
Tucson, AZ 85711-2602

Mailing address

2202 N Forbes Blvd
Attn: Managed Care
Tucson, AZ 85745-1412
Phone (520) 872-7700

Other identifiers 2

IdentifierTypeStateIssuer
BH4206OtherAZARIZONA STATE LICENSE
OTC6361OtherAZADHS STATE LICENSE

Other names 1

  • O'Rielly Transitions Intensive Outpatient Program Doing business as

National Provider Directory

National Provider Directory

Locations

350 N Wilmot Rd
Ste 15023A
Tucson, AZ 85711
Phone (520) 873-3000

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1417290958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "address_2": "ATTN: MANAGED CARE",
            "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": "350 N WILMOT RD",
            "address_2": "SUITE 150-23A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-873-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-872-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AZ",
            "license": "BH4206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "BH4206",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS STATE LICENSE",
            "identifier": "OTC6361",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Rielly Transitions Intensive Outpatient Program",
            "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 May 5, 2014; 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.