County of Pima

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NCI-298 Issued in AZ

Legal business name

COUNTY OF PIMA

Practice address

2250 N Craycroft Rd
Tucson, AZ 85712-2802

Phone

(520) 733-8700

Fax

(520) 733-8980

NPI assigned

Feb 23, 2007

Organization subpart

Yes

Parent organization

PIMA HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Pat Wilson

Title

Administrator

Phone

(520) 733-8733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Posada del Sol Doing business as

Part of

County of Pima

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1780710095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122802",
            "telephone_number": "520-733-8700",
            "fax_number": "520-733-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122802",
            "telephone_number": "520-733-8700",
            "fax_number": "520-733-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PIMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIMA HEALTH SYSTEM",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-733-8733"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AZ",
            "license": "NCI-298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040915",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Posada del Sol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley W. Coulthard, M.D.
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• Nursing Facility/Intermediate Care Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nursing Facility/Intermediate Care Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.