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Organization

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

Active
Other names
SAN XAVIER CLINIC
Organization subpart
No

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0325678
NACADP #
AZ
01
1437157302
FACILITY NPI #
AZ
05
147133-03
AZ
05
706921-01
AZ
01
AZ0929620
BC/BS OF AZ PROV #
AZ
Enumeration date
04/10/2006
Last updated
09/11/2025
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