NPIMap

Organization Active NPI

US Public Health Commission Corps

  • Federal Public Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1487102406
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
License
SP012937 Issued in PA
Legal business name
US PUBLIC HEALTH COMMISSION CORPS
Practice address
7900 S J Stock Rd
Indian Health Service, San Xavier Health Clinic
Tucson, AZ 85746-7012
Phone
(520) 295-2481
NPI assigned
Sep 19, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Kelly Marie Fath, FNP-BCNPI 1194262444
Title
Nurse Practitioner
Phone
(724) 747-5221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X SP012937 PA Primary
Urgent Care Clinic/Center 261QU0200X SP012937 PA

Addresses

Primary practice location

7900 S J Stock Rd
Indian Health Service, San Xavier Health Clinic
Tucson, AZ 85746-7012

Mailing address

180 Ferncliff Rd
PO Box 274
Rices Landing, PA 15357-1167
Phone (724) 747-5221

Other names 1

  • Indian Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Centers for Disease Control and Prevention US Public Health Service10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1487102406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FERNCLIFF RD",
            "address_2": "PO BOX 274",
            "city": "RICES LANDING",
            "state": "PA",
            "postal_code": "153571167",
            "telephone_number": "724-747-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "address_2": "INDIAN HEALTH SERVICE, SAN XAVIER HEALTH CLINIC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PUBLIC HEALTH COMMISSION CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "FATH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "724-747-5221",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "PA",
            "license": "SP012937",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "SP012937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Health Services",
            "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 Sep 19, 2016; 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.