PASCUA YAQUI TRIBE


Address: 7490 S Camino De Oeste, Tucson, AZ 85746-9308
Phone: 5208796019

PASCUA YAQUI TRIBE (NPI# 1720118821) 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) 1720118821
Entity Type Organization
Organization Name PASCUA YAQUI TRIBE
Other Organization Name ALTCS
Practice Address 7490 S Camino De Oeste
Tucson
AZ 85746-9308
Practice Telephone 5208796019
Practice Fax Number 5208831057
Mailing Telephone 5208796019
Mailing Fax Number 5208831057
Enumeration Date 2007-03-07
Last Update Date 2020-08-22
Authorized Official Name MRS. ANGELA GOMEZ (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5208796073
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 416257 05

Other Provider/Organization Names

Other Name Type Code
ALTCS Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194230672 Pascua Yaqui Tribe Community/Behavioral Health 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 2017-12-06
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

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 7490 S CAMINO DE OESTE
City TUCSON
State AZ
Zip Code 85746-9308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324150 Marisa Lynn Soto Pharmacist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2005-05-23
1790302727 El Rio Santa Cruz Neighborhood Pharmacy 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2020-06-25
1477172872 Stephen John Simonetti Student in an Organized Health Care Education/Training Program 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2020-04-15
1942778857 Sean Plimley Herziger Social Worker 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-11-08
1639647522 Dawn Elizabeth Mcmillan-austin Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-11-08
1285126839 Laura J. Cockrell Marriage & Family Therapist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-05-30
1558853275 Linda L Vance Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-05-30
1003310251 Ava Crystal Arshadi Student in an Organized Health Care Education/Training Program 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-03-22
1427565050 Maria Alcantara Dental Hygienist 7490 S Camino De Oeste, Tucson, AZ 85757-9308 2018-01-04
1720443237 Teddy Kay Walter Estes Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2015-12-28
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City TUCSON
Zip Code 85746

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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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