Organization
UNIVERSITY MEDICAL CENTER CORPORATION
Active
Organization
UNIVERSITY MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY HANSEN (CHIEF FINANCIAL OFFICER)
(520) 694-4701
Entity
Organization
Contact information
Practice address
1501 N. CAMPBELL AVENUE, TUCSON, AZ 85724
(520) 694-6501
(520) 694-4085
Mailing address
655 E. RIVER ROAD, TUCSON, AZ 85704
(520) 694-1132
(520) 694-2389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
H-0134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032316
MEDICARE ID TYPE UNSPECIFIED
AZ
Enumeration date
12/15/2006
Last updated
07/18/2013
Update your record
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