# UNIVERSITY OF ARIZONA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437418225
- **Authorized official:** DR. WAYNE JACOBSEN M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (520) 626-7141

## Contact information

- **Practice address:** 1501 N CAMPBELL AVE, ROOM 5301, TUCSON, AZ 85724-5085
- **Practice address phone:** (502) 626-7221
- **Mailing address:** 1501 N. CAMPBELL AVE. BOX, ROOM 5301; PO BOX 245114, TUCSON, AZ 85724-5085
- **Mailing address phone:** (502) 626-7221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | R73212 | AZ | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 06/10/2013