MEDICARE: TON SELLS HOSPITAL

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0325642	OTHER	AZ	NACADP#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	AC0015	OTHER	AZ	ASC
5	03D0531947	OTHER	AZ	CLIA #
6	AZ0209580	OTHER	AZ	BC/BSAZ PROV NO

General Provider Information

NPI Number	:	1487652426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TON SELLS HOSPITAL

Provider Business Mailing Address
First Line	:	7900 S J STOCK RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-7012
Country	:	US
Telephone Number	:	520-547-8140
Fax Number	:

Provider Business Practice Location Address
First Line	:	HIGHWAY 86 AT TOPAWA ROAD
Second Line	:
City	:	SELLS
State	:	AZ
Zip	:	85634-0548
Country	:	US
Telephone Number	:	520-383-7200
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. VERONICA GERONIMO
Credential	:
Telephone Number	:	520-383-7200

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	11/15/2024

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Directions to “TON SELLS HOSPITAL ” Practice Location

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