Organization
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
Active
Other names
WESTSIDE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT PRIESSMAN M.B.A., C.P.M. (ACCOUNTING AND BUDGET OFFICER)
(520) 295-2427
Entity
Organization
Contact information
Practice address
FEDERAL ROUTE 21, PISINEMO VILLAGE, AZ 89563
(520) 362-3130
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D09569818
CLIA #
AZ
Enumeration date
05/11/2006
Last updated
01/17/2008
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