CR Resorts, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC8497 Issued in AZ

Legal business name

CR RESORTS, LLC

Doing business as

Canyon Ranch

Practice address

8600 E Rockcliff Rd
Tucson, AZ 85750-9733

Phone

(520) 749-9655

Fax

(520) 749-0662

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry P Dittmer

Title

Senior Vice President of Finance

Phone

(520) 749-9655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Canyon Ranch Doing business as

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1649762238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E ROCKCLIFF RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509733",
            "telephone_number": "520-749-9655",
            "fax_number": "520-749-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E ROCKCLIFF RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509733",
            "telephone_number": "520-749-9655",
            "fax_number": "520-749-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR RESORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "DITTMER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "520-749-9655"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC8497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA OUTPATIENT TREATMENT CENTER LICENSE",
            "identifier": "OTC8497",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Ranch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyon Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Kiel Cozine, R.N.
• Samantha Cozine
• Nooria Cozzetti, PA-C
• Elizabeth Cozzi, M.S., CCC-A
• CR Resorts LLC (Canyon Ranch)
• Amber Nicole Marie Crace
• Marianne Julie Cracovaner, M.S.
• Brandon Bryon Cracraft
• Sarah Gail Craddock
• Jordan W Crafton, D.P.M.

• Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.