Healthcare Provider Details
I. General information
NPI: 1477542892
Provider Name (Legal Business Name): TUCSON MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2005
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5301 E GRANT RD
TUCSON AZ
85712-2805
US
IV. Provider business mailing address
5301 E GRANT RD
TUCSON AZ
85712-2805
US
V. Phone/Fax
- Phone: 520-324-2535
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 315D00000X |
| Taxonomy | Inpatient Hospice |
| License Number | HSPC-0020 |
| License Number State | AZ |
VIII. Authorized Official
Name:
STEVE
REICHLING
Title or Position: CFO
Credential:
Phone: 520-324-2701