MEDICARE: PIMA COUNTY HEALTH DEPT

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1265745749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIMA COUNTY HEALTH DEPT

Provider Business Mailing Address
First Line	:	130 W CONGRESS ST
Second Line	:	MAILSTOP DT-BAB6-401
City	:	TUCSON
State	:	AZ
Zip	:	85701-1317
Country	:	US
Telephone Number	:	520-243-8914
Fax Number	:	520-243-8909

Provider Business Practice Location Address
First Line	:	3950 S COUNTRY CLUB RD
Second Line	:	ROOM 1357
City	:	TUCSON
State	:	AZ
Zip	:	85714-2099
Country	:	US
Telephone Number	:	520-243-7797
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MICHELLE MCDONALD
Credential	:	MD
Telephone Number	:	520-243-7797

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	07/26/2010

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Directions to “PIMA COUNTY HEALTH DEPT ” Practice Location

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