Organization
CARONDELET HEALTH NETWORK
Active
Other names
Holy Cross Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TOM R PEPPING (CFO)
(520) 872-7790
Entity
Organization
Contact information
Practice address
1171 W TARGET RANGE RD, NOGALES, AZ 85621-2465
(520) 285-3000
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7700
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H0090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0000210
BCBSAZMEDHC
AZ
Enumeration date
11/01/2006
Last updated
08/22/2020
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