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NPI Code Detail

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

MEDICARE: DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
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
1163WP2201XAmbulatory Care Registered Nurse
2163WW0101XAmbulatory Women's Health Care Registered Nurse
3163WD0400XDiabetes Educator Registered Nurse
4163WA2000XAdministrator Registered Nurse
5164W00000XLicensed Practical Nurse

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0209620OTHERAZBCBSAZ PROV #
31437157302OTHERAZFACILITY NPI #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699737023
Entity Type Code : Organization
Provider Name (Legal Business Name) : DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
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 : 7900 S J STOCK RD
Second Line :
City : TUCSON
State : AZ
Zip : 85746-7012
Country : US
Telephone Number : 520-295-2550
Fax Number : 520-295-2593
Authorized Official
Title or Position : ACCOUNTING AND BUDGET OFFICER
Name : MR. KURT PRIESSMAN
Credential : M.B.A., C.P.M.
Telephone Number : 520-295-2427
Provider Enumeration Date : 04/03/2006
Last Update Date : 09/11/2025

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Directions to “DHHS-PHS, IHS TUCSON AREA, IHS TUCSON ” Practice Location

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