Active NPI
El Dorado Hospital
- General Acute Care Hospital
- Tucson, AZ
National Provider Identifier
1942298997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- H3500
- Legal business name
- EL DORADO HOSPITAL
- Practice address
- 1400 N Wilmot Rd
Tucson, AZ 85712-4409 - Phone
- (520) 721-5116
- NPI assigned
- Oct 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nate Tanpiengco
- Title
- Corporate Sr VP - Cfo
- Phone
- (520) 324-1160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H3500 | AZ | Primary |
Addresses
Primary practice location
1400 N Wilmot Rd
Tucson, AZ 85712-4409
Mailing address
1400 N Wilmot Rd
Tucson, AZ 85712-4409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840365 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942298997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124409",
"telephone_number": "520-721-5116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL DORADO HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TANPIENGCO",
"authorized_official_first_name": "NATE",
"authorized_official_title_or_position": "CORPORATE SR VP - CFO",
"authorized_official_telephone_number": "520-324-1160",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AZ",
"license": "H3500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "840365",
"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.