Active NPI
Cottonwood de Tucson, Inc.
- Substance Abuse Rehabilitation Facility
- Tucson, AZ
National Provider Identifier
1487180998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- BH4473
- Legal business name
- COTTONWOOD DE TUCSON, INC.
- Practice address
- 4110 W Sweetwater Dr
Tucson, AZ 85745-9348 - Phone
- (520) 743-0411
- Fax
- (520) 743-7991
- NPI assigned
- May 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian C Welch
- Title
- Ceo
- Phone
- (520) 743-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | BH4473 | AZ | Primary |
Addresses
Primary practice location
4110 W Sweetwater Dr
Tucson, AZ 85745-9348
Mailing address
4110 W Sweetwater Dr
Tucson, AZ 85745-9348
Phone (520) 743-0411
National Provider Directory
National Provider Directory- Tax ID family
- Cottonwood de Tucson Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
4110 W Sweetwater Dr
Tucson, AZ 85745
Phone (520) 743-0411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493769600000",
"number": "1487180998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 W SWEETWATER DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857459348",
"telephone_number": "520-743-0411",
"fax_number": "520-743-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 W SWEETWATER DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857459348",
"telephone_number": "520-743-0411",
"fax_number": "520-743-7991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTONWOOD DE TUCSON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "520-743-0411",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "AZ",
"license": "BH4473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
- Katherine Tudor Cotton, DMD
- Margaret Thom Cotton, SLP
- Rebecca Cotton, LCSW
- Cottonwood de Tucson Inc (Cottonwood de Tucson)
- Cottonwood de Tucson, Inc (Cottonwood de Tucson)
- Cottonwood Pediatrics, PLC (Cottonwood Pediatrics)
- Cottonwood Tucson Outpatient Services
- Michael Lee Couch
- Michael W Couch, MD
- Weldon David Couch, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.