Organization Active NPI

Humane Society of So Arizona

  • Voluntary or Charitable Agency
  • Tucson, AZ
National Provider Identifier
1710052915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
CSA06ADHS01731 Issued in AZ
Legal business name
HUMANE SOCIETY OF SO ARIZONA
Practice address
3450 N Kelvin Boulevard
Humane Society of Southern Arizona
Tucson, AZ 85716
Phone
(520) 881-7401
Fax
(520) 881-7400
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Marsh Flint Myers
Title
Dir of Education
Phone
(520) 881-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X CSA06ADHS01731 AZ Primary

Addresses

Primary practice location

3450 N Kelvin Boulevard
Humane Society of Southern Arizona
Tucson, AZ 85716

Mailing address

3450 N Kelvin Boulevard
Tucson, AZ 85716
Phone (520) 881-7401

Other identifiers 1

IdentifierTypeStateIssuer
887143MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Humane Society of So Arizona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710052915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N KELVIN BOULEVARD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-881-7401",
            "fax_number": "520-881-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N KELVIN BOULEVARD",
            "address_2": "HUMANE SOCIETY OF SOUTHERN ARIZONA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-881-7401",
            "fax_number": "520-881-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANE SOCIETY OF SO ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARSH",
        "authorized_official_middle_name": "FLINT",
        "authorized_official_title_or_position": "DIR OF EDUCATION",
        "authorized_official_telephone_number": "520-881-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": "CSA06ADHS01731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887143",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.