MEDICARE: MUREGO JOHNSON BHTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	BH10091	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BH10091	OTHER	AZ	ADHS

General Provider Information

NPI Number	:	1174495618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUREGO JOHNSON BHTH

Provider Business Mailing Address
First Line	:	PO BOX 86537
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85754-6537
Country	:	US
Telephone Number	:	520-721-1887
Fax Number	:	520-721-0069

Provider Business Practice Location Address
First Line	:	5972 S ROWAN CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-0005
Country	:	US
Telephone Number	:	520-721-1887
Fax Number	:	520-721-0069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	02/18/2026

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Directions to “ MUREGO JOHNSON BHTH” Practice Location

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