# DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN XAVIER CLINIC TTOTSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629031596
- **Authorized official:** MR. KURT PRIESSMAN B.A., M.B.A., C.P.M. (ACCOUNTING AND BUDGET OFFICER)
- **Authorized official phone:** (520) 295-2427

## Contact information

- **Practice address:** 7900 S J STOCK RD, TUCSON, AZ 85746-7012
- **Practice address phone:** (520) 295-2427
- **Practice address fax:** (520) 295-2611
- **Mailing address:** 7900 S J STOCK RD, TUCSON, AZ 85746-7012
- **Mailing address phone:** (520) 295-2427
- **Mailing address fax:** (520) 295-2611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246QC1000X | Chemistry Pathology Specialist/Technologist | — | NULL | — |
| 246QC1000X | Chemistry Pathology Specialist/Technologist | — | — | — |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | NULL | — |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | — | — |
| 246QM0900X | Microbiology Specialist/Technologist | — | NULL | — |
| 246QM0900X | Microbiology Specialist/Technologist | — | — | — |
| 246RM2200X | Medical Laboratory Technician | — | NULL | — |
| 246RM2200X | Medical Laboratory Technician | — | — | — |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 246YC3301X | Hospital Based Coding Specialist | — | NULL | Yes |
| 246YC3301X | Hospital Based Coding Specialist | — | — | Yes |
| 246YR1600X | Registered Record Administrator | — | NULL | — |
| 246YR1600X | Registered Record Administrator | — | — | — |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1437157302 | FACILITY NPI \# | AZ |
| 05 | — | 147133-03 | — | AZ |
| 05 | — | 706921-01 | — | AZ |
| 01 | — | AZ0209620 | BC/BSAZ PROV NO | AZ |