NPIMap

Organization Active NPI

Carondelet Health Network

  • Psychiatric Hospital Unit
  • Tucson, AZ
National Provider Identifier
1689759722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
BH2003 Issued in AZ
Legal business name
CARONDELET HEALTH NETWORK
Practice address
1802 West St. Mary'S Road
Tucson, AZ 85745-2623
Phone
(520) 872-3000
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom R Pepping, CFO
Title
Chief Financial Officer
Phone
(520) 872-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X BH2003 AZ Primary

Addresses

Primary practice location

1802 West St. Mary'S Road
Tucson, AZ 85745-2623

Mailing address

2202 North Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7700

Other identifiers 1

IdentifierTypeStateIssuer
69581901MedicaidAZ

Other names 1

  • St. Mary's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physiatry Rehab St Mary32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689759722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 NORTH FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 WEST ST. MARY'S ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPPING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-872-7790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AZ",
            "license": "BH2003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69581901",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Hospital",
            "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 Aug 22, 2020; 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.