COTTONWOOD TUCSON OUTPATIENT SERVICES


Address: 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348
Phone: 5207430411

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).

Provider Overview

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.

Taxonomy

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

Office Location

Street Address 4110 W SWEETWATER DR BLDG 16
City TUCSON
State AZ
Zip Code 85745-9348

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85745

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Dataset Information

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.

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