COTTONWOOD TUCSON OUTPATIENT SERVICES (NPI# 1093240020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093240020 |
Entity Type | Organization |
Organization Name | COTTONWOOD TUCSON OUTPATIENT SERVICES |
Practice Address |
4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 |
Practice Telephone | 5207430411 |
Practice Fax Number | 5207437991 |
Mailing Telephone | 5207430411 |
Mailing Fax Number | 5207437991 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |
Authorized Official Name | MS. EILEEN M JACOBSON (DIRECTOR HEALTH INFO MGMT/COMPLIANC) |
Authorized Official Telephone | 5207432162 |
Authorized Official Credential | RHIT |
Is Organization Subpart | Y |
Parent Organization Name | COTTONWOOD DE TUCSON, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OTC7911 | AZ | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OTC7911 | AZ | Ambulatory Health Care Facilities |
Street Address |
4110 W SWEETWATER DR BLDG 16 |
City | TUCSON |
State | AZ |
Zip Code | 85745-9348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
Find all providers in zip 85745 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1902449077 | Hidden Paradox, LLC | Clinic/Center | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2019-10-22 |
1235657461 | Arizona Rehab Campus, LLC | Clinic/Center | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2017-09-08 |
1457802274 | Rincon Recovery, LLC | Clinic/Center | 5956 E Pima St, Ste 140, Tucson, AZ 85712-4375 | 2016-10-17 |
1083968549 | The Haven's Outpatient Clinic | Clinic/Center | 2601 N Campbell Ave, Suite 110, Tucson, AZ 85719-3163 | 2012-11-06 |
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1871128520 | Summit Bhc Mesa LLC | Clinic/Center | 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 | 2020-03-03 |
1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
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1538706775 | Soberman's Estate LLC | Clinic/Center | 5035 E Barwick Dr, Cave Creek, AZ 85331-5981 | 2019-12-06 |
1659918266 | Peace & Ease LLC | Clinic/Center | 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 | 2019-12-02 |
1124662788 | Jh Medical Services LLC | Clinic/Center | 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 | 2019-11-06 |
1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.