NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC (NPI# 1679682900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679682900 |
Entity Type | Organization |
Organization Name | NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC |
Practice Address |
8333 N Silverbell Suite 121 Marana AZ 85743 |
Practice Telephone | 5202027790 |
Mailing Telephone | 5202027790 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-11-06 |
Authorized Official Name | LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES) |
Authorized Official Telephone | 6154657466 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | PENDING | AZ | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
PENDING | AZ | Ambulatory Health Care Facilities |
N | 261QR0200X |
Clinic/Center Specialization: Radiology |
PENDING | AZ | Ambulatory Health Care Facilities |
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
PENDING | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PENDING | 05 |
Street Address |
8333 N SILVERBELL SUITE 121 |
City | MARANA |
State | AZ |
Zip Code | 85743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356857338 | Catherine Fisher | Massage Therapist | 7455 W Twin Peaks Rd Ste 111, Tucson, AZ 85743 | 2017-12-28 |
1497128995 | Cherie Kay Gaither | Registered Nurse | 3233 S. Pinal Vista, Tucson, AZ 85743 | 2015-11-05 |
1487939211 | Spanish Trail Pediatric Dental Partners, LLP | Dentist | 9565 E. 22nd Street Suite 143, Tucson, AZ 85743 | 2011-10-12 |
1174745319 | Hanna Phan | Pharmacist | 1295 North Martin Ave, Tucson, AZ 85743 | 2007-05-03 |
1912034695 | Carmen Ruiz Drummond | Psychiatry & Neurology | 8185 N Stonehill Dr, Tucson, AZ 85743 | 2007-02-28 |
1356492193 | Diane E. Carrillo | Physical Therapist | 7759 N Silverbell Rd Apt 10105, Tucson, AZ 85743 | 2007-01-16 |
1174696496 | Nationwide Vision Center, LLC | Technician/Technologist | 5960 West Pavillions Drive, Suite 130, Tucson, AZ 85743 | 2006-11-16 |
1205921202 | Foothills Sports Medicine & Rehabilitation- Tucson, Inc | Physical Therapist | 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 | 2006-10-04 |
1508875923 | Brian James Midei | Dentist | 8295 N Cortaro Road, Suite 137, Tucson, AZ 85743 | 2006-08-05 |
1326280926 | Seminars for Healthcare Education, Inc | Nursing Care | 8300 N Westcliff Dr, Tucson, AZ 85743-1043 | 2009-03-27 |
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Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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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.