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NPI Code Detail

MEDICARE: PIMA COUNTY AMPHITHEATER SCHOOLS

MEDICARE: PIMA COUNTY AMPHITHEATER SCHOOLS
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
1251300000XLocal Education Agency (LEA)CTDS100210000AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891864153
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIMA COUNTY AMPHITHEATER SCHOOLS
Provider Business Mailing Address
First Line : 701 WEST WETMORE ROAD
Second Line : ATTN STUDENT SERVICES
City : TUCSON
State : AZ
Zip : 85705-1547
Country : US
Telephone Number : 520-696-5095
Fax Number : 520-696-5067
Provider Business Practice Location Address
First Line : 701 WEST WETMORE ROAD
Second Line : ATTN STUDENT SERVICES
City : TUCSON
State : AZ
Zip : 85705-1547
Country : US
Telephone Number : 520-696-5095
Fax Number : 520-696-5067
Authorized Official
Title or Position : ASSISTANT DIRECTOR SPECIAL EDUCATIO
Name : MS. PAMELA FENSTAMAKER
Credential : MA
Telephone Number : 520-696-5095
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/29/2011

Similar Medicare Providers

1396130092 — GINA MARIE BORRAS MPT
Practice Location Address:
701 W WETMORE RD
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067
1194880260 — MRS. DAWN M. POLCYN EDS
Practice Location Address:
701 WEST WETMORE RD. RM. 168 , AMPHITHEATER PUBLIC SCHOOLS
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067
1811049620 — IDALIA CARBAJAL PORTER
Practice Location Address:
701 WEST WETMORE ROAD , AMPHITHEATER PUBLIC SCHOOLS
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067
1790826014 — MS. KELLY ANN RISNER EDS
Practice Location Address:
701 WEST WETMORE ROAD , AMPHITHEATER PUBLIC SCHOOLS
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067
1841331170 — MS. SUE ANN GILLES MSW
Practice Location Address:
701 W WETMORE ROAD , AMPHITHEATER PUBLIC SCHOOLS
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067
1972644201 — MRS. DIANNE W RUSCHER EDS
Practice Location Address:
701 WEST WETMORE ROAD , AMPHITHEATER PUBLIC SCHOOLS
TUCSON, AZ
85705-1547
Practice Phone: 520-696-5237
Practice Fax: 520-696-5067

Directions to “PIMA COUNTY AMPHITHEATER SCHOOLS ” Practice Location

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