Organization
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Active
Other names
SAN XAVIER CLINIC TTOTSP
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
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
—
—
246QL0900X
Laboratory Management Specialist/Technologist
—
—
246QM0900X
Microbiology Specialist/Technologist
—
—
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
—
246YC3301X
Hospital Based Coding Specialist
Primary
—
—
246YR1600X
Registered Record Administrator
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437157302
FACILITY NPI #
AZ
05
—
147133-03
—
AZ
05
—
706921-01
—
AZ
01
—
AZ0209620
BC/BSAZ PROV NO
AZ
Enumeration date
04/10/2006
Last updated
09/11/2025
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