NPIMap

Organization Active NPI

DHHS-PHS, IHS Tucson Area

Doing business as IHS Tucson Santa Rosa Clinic

  • Nurse's Aide
  • Santa Rosa Village, AZ
National Provider Identifier
1851359293
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
DHHS-PHS, IHS TUCSON AREA
Doing business as
IHS Tucson Santa Rosa Clinic
Practice address
Federal Route 15
Santa Rosa Village, AZ 85634
Phone
(520) 361-2261
Fax
(520) 383-5572
NPI assigned
May 3, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mr. Kurt Priessman, B.A., M.B.A., C.P.M.
Title
Accounting and Buget Officer
Phone
(520) 295-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X Primary

Addresses

Primary practice location

Federal Route 15
Santa Rosa Village, AZ 85634

Mailing address

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2427

Other identifiers 6

IdentifierTypeStateIssuer
AZ0490080OtherAZBC/BS AZ PROVIDER #
1770581639OtherAZFACILITY NPI #
706921-01MedicaidAZ
907008-01MedicaidAZ
147141-03MedicaidAZ
0327177OtherAZNACADP #

Other names 1

  • IHS TUCSON SANTA ROSA CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS IHS Tucson Area IHS Tucson Santa Rosa Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1851359293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 S J STOCK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467012",
            "telephone_number": "520-295-2427",
            "fax_number": "520-295-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FEDERAL ROUTE 15",
            "city": "SANTA ROSA VILLAGE",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-361-2261",
            "fax_number": "520-383-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS-PHS, IHS TUCSON AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PRIESSMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "ACCOUNTING AND BUGET OFFICER",
        "authorized_official_telephone_number": "520-295-2427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., M.B.A., C.P.M."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS AZ PROVIDER #",
            "identifier": "AZ0490080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI #",
            "identifier": "1770581639",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706921-01",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907008-01",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147141-03",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NACADP #",
            "identifier": "0327177",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS TUCSON SANTA ROSA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa Village, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.