PASCUA YAQUI TRIBE


Address: 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745
Phone: 5208795450

PASCUA YAQUI TRIBE (NPI# 1194230672) 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) 1194230672
Entity Type Organization
Organization Name PASCUA YAQUI TRIBE
Other Organization Name CENTERED SPIRIT BEHAVIORAL HEALTH ST. MARY'S
Practice Address 1701 W. St. Mary's Road, Suite 120
Tucson
AZ 85745
Mailing Address 7490 S. Camino De Oeste
Tucson
AZ 85757
Practice Telephone 5208795450
Practice Fax Number 5202076409
Mailing Telephone 5208796107
Mailing Fax Number 5208795972
Enumeration Date 2017-12-06
Last Update Date 2017-12-06
Authorized Official Name MR. ROBERT VALENCIA (PYT CHAIRMAN)
Authorized Official Telephone 5208835000
Is Organization Subpart Y
Parent Organization Name PASCUA YAQUI TRIBE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health OTC8558 AZ Agencies

Other Provider/Organization Names

Other Name Type Code
Centered Spirit Behavioral Health St. Mary's Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073767984 Pascua Yaqui Tribe Case Management 4960 W Vai Sevoi, Tucson, AZ 85757-9073 2008-11-05
1467661470 Pascua Yaqui Tribe Residential Treatment Facility, Emotionally Disturbed Children 2861 W Via Hacienda, Tucson, AZ 85741-3424 2007-05-22
1215055777 Pascua Yaqui Tribe Ambulance 7474 S Camino De Oeste, Tucson, AZ 85746-9308 2007-03-26
1356415319 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2006-11-20
1477868396 Pascua Yaqui Tribe Clinic/Center 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2010-08-16
1619207370 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2009-12-31
1912178997 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2008-03-18
1649488305 Pascua Yaqui Tribe Technician/Technologist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-05-18
1275754392 Pascua Yaqui Tribe Clinic/Center 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-05-02
1720118821 Pascua Yaqui Tribe Home Health 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-03-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE 7474 S Camino De Oeste, Tucson, AZ 85746-9308
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE CHARITABLE ORGANIZATION 7473 S Ta A Voo O, Tucson, AZ 85757-8944
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE DIALYSIS 7490 S Camino De Oeste, Tucson, AZ 85757-9308

Office Location

Street Address 1701 W. ST. MARY'S ROAD, SUITE 120
City TUCSON
State AZ
Zip Code 85745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629540679 El Rio Santa Cruz Neighborhood Health Center Inc Pharmacy 839 W Congress, Tucson, AZ 85745 2018-12-31
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
1285996272 Aimee Marie Steiniger Pediatrics 839 W. Congress Street, Tucson, AZ 85745 2012-06-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1053877639 Getaway Advanced Services LLC Community/Behavioral Health 3780 E Felix Blvd, Tucson, AZ 85706-1926 2019-02-19
1255815577 Jane St. Perre Community/Behavioral Health 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 2018-09-21
1225519416 The University of Arizona Community/Behavioral Health 4210 N Campbell Ave, Tucson, AZ 85719-1109 2018-08-24
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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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