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NPI Code Detail

MEDICARE: SIERRA TUCSON, LLC

MEDICARE: SIERRA TUCSON, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3324500000XSubstance Abuse Rehabilitation Facility
4283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BH3923OTHERAZBEHAVIORAL HEALTH RESIDENTIAL FACILITY
2OTC9748OTHERAZARIZONA DEPARTMENT OF HEALTH SERVICES
3IFBH8520OTHERAZBEHAVIORAL HEALTH INPATIENT FACILITY

General Provider Information

NPI Number : 1124175021
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA TUCSON, LLC
Provider Business Mailing Address
First Line : 4020 ASPEN GROVE DR STE 900
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-3134
Country : US
Telephone Number : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 39580 S LAGO DEL ORO PKWY
Second Line :
City : TUCSON
State : AZ
Zip : 85739-1091
Country : US
Telephone Number : 502-624-4000
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT AND SECRETARY
Name : BRIAN FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 01/04/2007
Last Update Date : 01/06/2026

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Practice Location Address:
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85739-1091
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1457413346 — BARRY DUANE MCMILLON PA-C
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1891844619 — MR. WILLIAM ROY REYNOLDS PA-C
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85739-1091
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1134250228 — DR. JERRY WILLIAM FITZ MD
Practice Location Address:
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85739-1091
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Directions to “SIERRA TUCSON, LLC ” Practice Location

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