Healthcare Provider Details

I. General information

NPI: 1275475568
Provider Name (Legal Business Name): SAMU INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4602 E HOLMES ST STE A
TUCSON AZ
85711-2952
US

IV. Provider business mailing address

4602 E HOLMES ST STE A
TUCSON AZ
85711-2952
US

V. Phone/Fax

Practice location:
  • Phone: 520-667-6395
  • Fax:
Mailing address:
  • Phone: 520-221-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSANA SELIG
Title or Position: REGIONAL PROGRAMS & OPERATIONS MANA
Credential:
Phone: 520-221-1987