Healthcare Provider Details

I. General information

NPI: 1023357563
Provider Name (Legal Business Name): CARONDELET HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4892 NORTH STONE AVENUE SUITE 180
TUCSON AZ
85704-5749
US

IV. Provider business mailing address

2202 N FORBES BLVD
TUCSON AZ
85745-1412
US

V. Phone/Fax

Practice location:
  • Phone: 520-872-5300
  • Fax:
Mailing address:
  • Phone: 520-872-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALAN STRAUSS
Title or Position: CFO
Credential:
Phone: 520-872-7700