Cottonwood de Tucson, Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

IFBH6377 Issued in AZ

Legal business name

COTTONWOOD DE TUCSON, INC

Doing business as

Cottonwood de Tucson

Practice address

4110 W Sweetwater Dr
BLDG 1400
Tucson, AZ 85745-9348

Phone

(520) 743-0411

Fax

(520) 743-7991

NPI assigned

Nov 30, 2006

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian C Welch

Title

Ceo

Phone

(520) 743-0411

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Cottonwood de Tucson Doing business as

Tax ID family

Cottonwood de Tucson Inc3 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.

• Cottonwood de Tucson Inc

  dba Cottonwood de Tucson

  • Institutional Pharmacy
  • Tucson, AZ
  • NPI 1407904105
  NPD tax ID
• Cottonwood de Tucson, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1487180998
  NPD tax ID

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1902974934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 W SWEETWATER DR",
            "address_2": "BLDG 1400",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459348",
            "telephone_number": "520-743-0411",
            "fax_number": "520-743-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W SWEETWATER DR",
            "address_2": "BLDG 1400",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459348",
            "telephone_number": "520-743-0411",
            "fax_number": "520-743-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD DE TUCSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-743-0411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "BH-073",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "IFBH6377",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-073",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AZ",
            "license": "BH-073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICE",
            "identifier": "BH073",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood de Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Cotten, LMSW
• Katherine Tudor Cotton, DMD
• Margaret Thom Cotton, SLP
• Rebecca Cotton, LCSW
• Cottonwood de Tucson Inc (Cottonwood de Tucson)
• Cottonwood de Tucson, Inc.
• Cottonwood Pediatrics, PLC (Cottonwood Pediatrics)
• Cottonwood Tucson Outpatient Services
• Michael Lee Couch
• Michael W Couch, MD

• Psychiatric Hospital in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.