Organization
CARONDELET HEALTH NETWORK
Active
Other names
St Mary's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM R PEPPING CFO (CHIEF FINANCIAL OFFICER)
(520) 872-7790
Entity
Organization
Contact information
Practice address
1601 WEST ST MARY'S ROAD, TUCSON, AZ 87545-2623
(520) 872-3000
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7700
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
H0011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046001201
—
AZ
Enumeration date
10/26/2006
Last updated
08/22/2020
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