# RONALD MCDONALD HOUSE SOUTHERN ARIZONA

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

## Provider details

- **NPI number:** 1891926721
- **Authorized official:** MR. SCOTT MATLICK (PRESIDENT & CEO)
- **Authorized official phone:** (520) 326-0060

## Contact information

- **Practice address:** 3838 N CAMPBELL AVE, BUILDING \#6, TUCSON, AZ 85719-1478
- **Practice address phone:** (520) 326-0060
- **Practice address fax:** (520) 881-1732
- **Mailing address:** PO BOX 20725, TUCSON, AZ 85717
- **Mailing address phone:** (520) 326-0060
- **Mailing address fax:** (520) 881-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | Yes |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 08/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 423852 | AHCCCS PROVIDER NUMBER | AZ |
