Healthcare Provider Details

I. General information

NPI: 1114008588
Provider Name (Legal Business Name): CARONDELET HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 04/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 WEST ST. MARY'S ROAD
TUCSON AZ
85745-2623
US

IV. Provider business mailing address

2202 NORTH FORBES BLVD
TUCSON AZ
85745-1412
US

V. Phone/Fax

Practice location:
  • Phone: 520-872-3000
  • Fax:
Mailing address:
  • Phone: 520-872-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberBH2003
License Number StateAZ

VIII. Authorized Official

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