NPIMap

Organization Active NPI

Northwest Hospital LLC

Doing business as Northwest Emergency Center at Vail

  • Emergency Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1528505187
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
H0152 Issued in AZ
Legal business name
NORTHWEST HOSPITAL LLC
Doing business as
Northwest Emergency Center at Vail
Practice address
10146 E Old Vail Rd
Tucson, AZ 85747-9406
Phone
(520) 547-7400
NPI assigned
Jan 20, 2017
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X H0152 AZ Primary

Addresses

Primary practice location

10146 E Old Vail Rd
Tucson, AZ 85747-9406

Mailing address

PO Box 848444
Dallas, TX 75284-8444
Phone (520) 742-9000

Other identifiers 1

IdentifierTypeStateIssuer
229044MedicaidAZ

Other names 1

  • Northwest Emergency Center at Vail Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2104482Northwest Emergency Center at Vail10146 East Old Vail Rd, Tucson, AZ 85747AccreditationMar 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Northwest Medical Center4 organizations share this tax ID, including this one
Part of
Northwest Medical Center

Other organizations with this tax ID 3

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

Locations

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1528505187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848444",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848444",
            "telephone_number": "520-742-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10146 E OLD VAIL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479406",
            "telephone_number": "520-547-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST HOSPITAL LLC",
        "enumeration_date": "2017-01-20",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "AZ",
            "license": "H0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Emergency Center at Vail",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Emergency Center at Vail",
            "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 Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.