TON SAN SIMON HEALTH CENTER (NPI# 1588834998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588834998 |
| Entity Type | Organization |
| Organization Name | TON SAN SIMON HEALTH CENTER |
| Other Organization Name | SAN SIMON HEALTH CENTER |
| Practice Address |
West Highway 86, Mile Marker 74 Sells AZ 85634 |
| Mailing Address |
7900 S J Stock Rd Tucson AZ 85746-7012 |
| Practice Telephone | 5203837251 |
| Practice Fax Number | 5203837216 |
| Mailing Telephone | 5202952546 |
| Mailing Fax Number | 5202952676 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MS. DIANE SHANLEY (DEPUTY CEO) |
| Authorized Official Telephone | 5203837285 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AZ | Ambulatory Health Care Facilities | |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CLIA | 03D09569818 | 01 |
| AZ | 358933 | 05 | |
| AZ | 1588834998 | FACILITY NPI | 01 |
| Other Name | Type Code |
|---|---|
| SAN SIMON HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165319 | Ton San Simon Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | West Hwy 86 Mile Marker 74, Sells, AZ 85634 | 2008-02-19 |
| Street Address |
WEST HIGHWAY 86, MILE MARKER 74 |
| City | SELLS |
| State | AZ |
| Zip Code | 85634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881147510 | Tohono O'odham Nation | Public Health or Welfare | West Highway 86, Mile Marker 74, San Simon Village, Sells, AZ 85634 | 2016-07-29 |
| 1922240464 | Dhhs Phs Tucson Area San Simon Health Center | Clinic/Center | West Highway 86, Mile Marker 74, Sells, AZ 85634 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194233 | Barbara Forson | Registered Nurse | Arizona Hwy 86, Sells, AZ 85634 | 2019-09-23 |
| 1922658327 | Geraldine Mendez | Technician | Highway 86 Milepost 120, Sells, AZ 85634 | 2019-09-17 |
| 1841847373 | Aimee Guerrero | Pharmacist | Highway 86/topawa Road, Sells, AZ 85634 | 2019-08-20 |
| 1952956823 | Caroline Gina Ryan | Registered Nurse | State Hwy 86, Sells, AZ 85634 | 2019-08-07 |
| 1255993093 | Kourtney Hamilton | Social Worker | Highway 86 Topawa Rd, Sells, AZ 85634 | 2019-07-02 |
| 1891357729 | Abdul Rahman Aloush | Registered Nurse | Hwy 86 Topawa Road, Sells, IL 85634 | 2019-07-01 |
| 1346805447 | Tiffani Pallanes | Registered Nurse | Az-86, Sells, AZ 85634 | 2019-05-03 |
| 1881159325 | Michelle Renee Riddle | Registered Nurse | Az - 86, Sells, AZ 85634 | 2019-02-08 |
| 1982177804 | Angela Vecchio | Registered Nurse | Sells Indian Hospital - In Patient Ward, Arizona State Route 86, Sells, AZ 85634 | 2019-01-03 |
| 1891277224 | Stephanie Elizabeth Morgan | Pharmacist | 1 Mesquite Dr Attn: Pharmacy, Sells, AZ 85634 | 2018-09-01 |
| Find all providers in zip 85634 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
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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.