Healthcare Provider Details

I. General information

NPI: 1437526233
Provider Name (Legal Business Name): PIMA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 08/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S COUNTRY CLUB RD STE 100
TUCSON AZ
85714-2226
US

IV. Provider business mailing address

39256 S MOUNTAIN SHADOW DR
TUCSON AZ
85739-2336
US

V. Phone/Fax

Practice location:
  • Phone: 520-724-7857
  • Fax: 520-838-7472
Mailing address:
  • Phone: 520-360-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7845
License Number StateAZ

VIII. Authorized Official

Name: FRANCISCO GARCIA
Title or Position: HEALTH DEPARTMENT DIRECTOR
Credential: M.D.
Phone: 520-724-7857