Organization
DHHS-PHS,IHS TUCSON AREA, IHS TUCSON
Active
Other names
SELLS INDIAN HOSPITAL DRIVERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT PRIESSMAN B.A., M.B.A., C.P.M. (ACCOUNTING AND BUDGET OFFICER)
(520) 295-2427
Entity
Organization
Contact information
Practice address
HIGHWAY 86 AT TOPAWA ROAD, SELLS, AZ 85634
(520) 383-7251
(520) 383-7216
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020579-03
—
AZ
01
—
0325642
NACADP#
AZ
01
—
1487652426
FACILITY NPI#
AK
05
—
706921-01
—
AZ
01
—
AZ0209580
BC/BSAZ PROV NO
AZ
01
—
AZ0209610
BC/BSAZ DENTAL PROV NO
AZ
Enumeration date
04/11/2006
Last updated
08/22/2020
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