Carondelet Health Network

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

H0011 Issued in AZ

Legal business name

CARONDELET HEALTH NETWORK

Doing business as

Carondelet Medical Mall At Green Valley

Practice address

400 W Camino Casa Verde
Suite 200
Green Valley, AZ 85614-3564

Phone

(520) 872-4568

Fax

(820) 872-7556

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alan Strauss

Title

Evp/Cfo

Phone

(520) 872-7790

Specialties & licenses 1

Addresses

Other names 1

• Carondelet Medical Mall At Green Valley Doing business as

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1740230770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7700",
            "fax_number": "520-872-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMINO CASA VERDE",
            "address_2": "SUITE 200",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143564",
            "telephone_number": "520-872-4568",
            "fax_number": "820-872-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "520-872-7790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "AZ",
            "license": "H0011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet Medical Mall At Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noelle Campbell
• Linda Caravello, LCSW
• Caremore Health Plan
• Dylan O'Keefe Carey
• Carondelet Health Network (Carondelet Rehabilitation Services)
• Kristi L Carriere, PT
• Casa de Esperanza, Inc.
• Sherry Lynn Cazares
• Center for Orthopedic Research and Education (The CORE Institute)
• Wa Ngoy Chao, DDS

• Mammography Clinic/Center in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Mammography Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.