MEDICARE: PIMA COUNTY

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
1	261QP2400X	Prison Health Clinic/Center
2	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1134425150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIMA COUNTY

Provider Business Mailing Address
First Line	:	3950 S COUNTRY CLUB RD
Second Line	:	SUITE 3460
City	:	TUCSON
State	:	AZ
Zip	:	85714-2099
Country	:	US
Telephone Number	:	520-243-7833
Fax Number	:	520-791-6500

Provider Business Practice Location Address
First Line	:	3950 S COUNTRY CLUB RD
Second Line	:	SUITE 3460
City	:	TUCSON
State	:	AZ
Zip	:	85714-2099
Country	:	US
Telephone Number	:	520-243-7833
Fax Number	:	520-791-6500

Authorized Official
Title or Position	:	UTILIZATION AND CLAIMS MANAGER
Name	:	LAURA J SAMUELSON
Credential	:
Telephone Number	:	520-724-2298

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	05/05/2025

Similar Medicare Providers

1437148533 — DR. SUSAN K HADLEY MD
Practice Location Address:

3950 S COUNTRY CLUB RD , SUITE 130
TUCSON, AZ
85714-2099

Practice Phone: 520-878-8592
Practice Fax:

1942287628 — SHIRLEY BLANCAS M.D.
Practice Location Address:

3950 S COUNTRY CLUB RD STE 130
TUCSON, AZ
85714-2099

Practice Phone: 520-874-4800
Practice Fax: 520-874-4801

1912096124 — DR. VICTORIA E MURRAIN DO
Practice Location Address:

3950 S COUNTRY CLUB RD
TUCSON, AZ
85714-2099

Practice Phone: 520-874-4800
Practice Fax: 520-874-4801

1689848665 — MS. MARGARET ANN PERRY RDH,
Practice Location Address:

3950 S COUNTRY CLUB RD , SUITE 100, #1366F
TUCSON, AZ
85714-2099

Practice Phone: 520-243-7902
Practice Fax: 520-791-0366

1699908855 — MR. DAVID KEITH GRIMM FNP
Practice Location Address:

3950 S COUNTRY CLUB RD , SUITE 130
TUCSON, AZ
85714-2099

Practice Phone: 520-874-2048
Practice Fax:

1265745749 — PIMA COUNTY HEALTH DEPT
Practice Location Address:

3950 S COUNTRY CLUB RD , ROOM 1357
TUCSON, AZ
85714-2099

Practice Phone: 520-243-7797
Practice Fax:

Directions to “PIMA COUNTY ” Practice Location

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