SUMMIT BHC TUSCON, LLC (NPI# 1427663947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427663947 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC TUSCON, LLC |
| Practice Address |
4210 W. Sweetwater Drive Tucson AZ 85745-9348 |
| Mailing Address |
389 Nichol Mill Ln. Franklin TN 37067-4882 |
| Practice Telephone | 5207430411 |
| Practice Fax Number | 5207432133 |
| Mailing Telephone | 8774633553 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MR. BRANDON LASKER (CEO) |
| Authorized Official Telephone | 5207430411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Cottonwood Tucson | Doing Business As Name - Organization |
| Street Address |
4210 W. SWEETWATER DRIVE |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1154826527 | Villa Maria Care Center, LLC | Substance Abuse Rehabilitation Facility | 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 | 2018-03-28 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| 1649686106 | Southwest Sober Living, LLC | Substance Abuse Rehabilitation Facility | 330 W Los Altos Rd, Tucson, AZ 85704-5671 | 2014-07-06 |
| 1669886370 | The Villas | Substance Abuse Rehabilitation Facility | 6849 S Tackweed Way, Tucson, AZ 85756-5141 | 2014-06-20 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1336434364 | Transitional Living Corporation | Substance Abuse Rehabilitation Facility | 1313 S. Venice Ave, Tucson, AZ 85712-3935 | 2011-06-17 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| 1013249564 | Hedrick House Inc. | Substance Abuse Rehabilitation Facility | 1632 E Hedrick Dr, Tucson, AZ 85719-2790 | 2010-02-09 |
| Find all providers in TUCSON | ||||
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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.