MEDICARE: DHHS-PHS, IHS TUCSON AREA, IHS TUCSON AREA SELLS HOSPITAL

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	146L00000X	Paramedic	FED AGENCY - N/A	AZ
2	146N00000X	Basic Emergency Medical Technician	FED AGENCY - N/A	AZ
3	146M00000X	Intermediate Emergency Medical Technician	FED AGENCY - N/A	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0209580	OTHER	AZ	BC/BSAZ PROV NO
2	1215936018	OTHER	AZ	EMS NPI #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215936018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DHHS-PHS, IHS TUCSON AREA, IHS TUCSON AREA SELLS HOSPITAL

Provider Business Mailing Address
First Line	:	7900 S J STOCK RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-7012
Country	:	US
Telephone Number	:	520-295-2427
Fax Number	:	520-295-2611

Provider Business Practice Location Address
First Line	:	HIGHWAY 86 AT TOPAWA ROAD
Second Line	:
City	:	SELLS
State	:	AZ
Zip	:	85634
Country	:	US
Telephone Number	:	520-383-7200
Fax Number	:	520-383-7216

Authorized Official
Title or Position	:	ACCOUNTING AND BUDGET OFFICER
Name	:	MR. KURT PRIESSMAN
Credential	:	B.A., M.B.A., C.P.M
Telephone Number	:	520-295-2427

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	09/11/2025

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