Healthcare Provider Details
I. General information
NPI: 1912960725
Provider Name (Legal Business Name): DHHS-PHS, IHS TUCSON AREA, IHS TUCSON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
HIGHWAY 86 AT TOPAWA ROAD
SELLS AZ
85634
US
IV. Provider business mailing address
7900 S J STOCK RD
TUCSON AZ
85746-7012
US
V. Phone/Fax
- Phone: 520-383-7251
- Fax: 520-383-7216
- Phone: 520-295-2427
- Fax: 520-295-2611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246QC1000X |
| Taxonomy | Chemistry Pathology Specialist/Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246QL0900X |
| Taxonomy | Laboratory Management Specialist/Technologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246Q00000X |
| Taxonomy | Pathology Specialist/Technologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246QM0706X |
| Taxonomy | Medical Technologist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246QM0900X |
| Taxonomy | Microbiology Specialist/Technologist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246RP1900X |
| Taxonomy | Phlebotomy Technician |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246RM2200X |
| Taxonomy | Medical Laboratory Technician |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471C3402X |
| Taxonomy | Radiography Radiologic Technologist |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2472B0301X |
| Taxonomy | Biomedical Engineering Technician |
| License Number | |
| License Number State | |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246YR1600X |
| Taxonomy | Registered Record Administrator |
| License Number | |
| License Number State | |
| # 11 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246YC3301X |
| Taxonomy | Hospital Based Coding Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
KURT
PRIESSMAN
Title or Position: ACCOUNTING AND BUDGET OFFICER
Credential: B.A., M.B.A., C.P.M.
Phone: 520-295-2427