US Public Health Commission Corps
Organization Active NPI Federal Public Health Clinic/Center · Tucson, AZ
NPI 1487102406 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1487102406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- License
- SP012937 (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
- Organization subpart
- No
Authorized official
- Name
- Kelly Marie Fath, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (724) 747-5221
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- State Farm Insurance
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | SP012937 | PA | Yes |
| 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
- Indian Health Services
Other providers in Tucson, AZ
- Irma E Urrutia-Potter
- Roxana Ursea
- Wilfrido Urueta
- Alexander Orlando Richard Urzua
- US Dept of Justice
- USA Medical Equipment and Supply
- Kim A Usher
- Rachelle Usis
- Deva H Usrey
- Usv Optical Inc
All providers in Tucson, AZ · Federal Public Health Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.