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NPI Code Detail

MEDICARE: CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA

MEDICARE: CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA
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
1311Z00000XCustodial Care FacilityBH914AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1588973OTHERAZAHCCS

General Provider Information

NPI Number : 1316263643
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA
Provider Business Mailing Address
First Line : 5138 E 2ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1309
Country : US
Telephone Number : 520-770-8517
Fax Number : 520-770-8517
Provider Business Practice Location Address
First Line : 140 W SPEEDWAY BLVD
Second Line : SUITE 130
City : TUCSON
State : AZ
Zip : 85705-7686
Country : US
Telephone Number : 520-623-0344
Fax Number : 520-770-8578
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MARY ANNE BOGOSOFF
Credential :
Telephone Number : 520-770-8517
Provider Enumeration Date : 04/12/2010
Last Update Date : 04/12/2010

Similar Medicare Providers

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Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 100
TUCSON, AZ
85705-7686
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1619120482 — MR. STEPHEN JOSEPH SCHILTZ LCSW
Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 130
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1770860421 — MRS. MARY J. CAREY RN,MA,PMHCNS-BC, LPC
Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 130
TUCSON, AZ
85705-7686
Practice Phone: 520-623-0344
Practice Fax: 520-770-8578
1457607970 — MRS. KATHRYN RAE CONWAY
Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 130
TUCSON, AZ
85705-7686
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Practice Fax: 520-770-8578
1366798852 — MRS. PATRICIA A YORK LPC
Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 130
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1831534171 — MRS. ELIZABETH H. CHRISTENSEN LPC
Practice Location Address:
140 W SPEEDWAY BLVD , SUITE 130
TUCSON, AZ
85705-7686
Practice Phone: 520-623-0344
Practice Fax: 520-770-8578

Directions to “CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.