Organization
NORTHWEST HOSPITAL LLC
Active
Other names
Northwest Medical Center Tucson - Ina Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
(615) 465-7466
Entity
Organization
Contact information
Practice address
2945 W INA RD, TUCSON, AZ 85741-2350
(520) 469-8266
(520) 469-8101
Mailing address
PO BOX 848444, DALLAS, TX 75284-8444
(520) 469-8266
(520) 469-8101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0205680
BCBS
AZ
01
—
AZ0420130
BCBS
AZ
Enumeration date
09/06/2007
Last updated
11/06/2007
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