Healthcare Provider Details

I. General information

NPI: 1134425150
Provider Name (Legal Business Name): PIMA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 05/05/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S COUNTRY CLUB RD SUITE 3460
TUCSON AZ
85714-2099
US

IV. Provider business mailing address

3950 S COUNTRY CLUB RD SUITE 3460
TUCSON AZ
85714-2099
US

V. Phone/Fax

Practice location:
  • Phone: 520-243-7833
  • Fax: 520-791-6500
Mailing address:
  • Phone: 520-243-7833
  • Fax: 520-791-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA J SAMUELSON
Title or Position: UTILIZATION AND CLAIMS MANAGER
Credential:
Phone: 520-724-2298