MEDICARE: UNIVERSITY MEDICAL CENTER CORPORATION

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	332B00000X	Durable Medical Equipment & Medical Supplies	H-0134	AZ

General Provider Information

NPI Number	:	1386822898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY MEDICAL CENTER CORPORATION

Provider Business Mailing Address
First Line	:	655 E RIVER RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-5840
Country	:	US
Telephone Number	:	520-694-1132
Fax Number	:	520-694-2389

Provider Business Practice Location Address
First Line	:	1891 W ORANGE GROVE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1116
Country	:	US
Telephone Number	:	520-694-1132
Fax Number	:	520-694-2389

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	KEVIN J. BURNS
Credential	:
Telephone Number	:	520-594-6501

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	02/06/2008

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