Healthcare Provider Details

I. General information

NPI: 1073610291
Provider Name (Legal Business Name): TOMBSTONE UNIFIED SCHOOL DISTRICT #1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E FREMONT
TOMBSTONE AZ
85638
US

IV. Provider business mailing address

PO BOX 1000
TOMBSTONE AZ
85638
US

V. Phone/Fax

Practice location:
  • Phone: 520-457-2217
  • Fax: 520-457-3270
Mailing address:
  • Phone: 520-457-2217
  • Fax: 520-457-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHY M JONES
Title or Position: SPECIAL PROJECTS DIRECTOR
Credential:
Phone: 520-457-2217