PASCUA YAQUI TRIBE (NPI# 1871623983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871623983 |
| Entity Type | Organization |
| Organization Name | PASCUA YAQUI TRIBE |
| Other Organization Name | HEALTH SERVICES DIVISION |
| Practice Address |
7490 S Camino De Oeste Tucson AZ 85746-9308 |
| Practice Telephone | 5208796000 |
| Practice Fax Number | 5208831057 |
| Mailing Telephone | 5208796000 |
| 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 | 5208796000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D2306 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | METLIFE DENTAL | 65978 | 01 |
| AZ | 894388 | 05 |
| Other Name | Type Code |
|---|---|
| Health Services Division | Other Name - Individual/Organization |
| 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 |
| 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 |
| Street Address |
7490 S CAMINO DE OESTE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-9308 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130650 | James F. Raymond Dmd Pllc | Clinic/Center | 3001 E Skyline Dr Ste 101, Tucson, AZ 85718-2144 | 2019-02-14 |
| 1134506116 | Mark Maklin Dmd | Clinic/Center | 2370 N Wyatt Dr Ste 110, Tucson, AZ 85712-2119 | 2015-04-29 |
| 1750607230 | Dan E Hornsby, D.d.s., P.c | Clinic/Center | 7402 N La Cholla Blvd, Tucson, AZ 85741 | 2010-04-09 |
| 1417954991 | Dental-net, Inc. | Clinic/Center | 1057 N Kolb Rd, Tucson, AZ 85710-1328 | 2005-06-30 |
| 1821621756 | J.j. Dental, Inc. | Clinic/Center | 4550 E Grant Rd, Tucson, AZ 85712-2617 | 2020-02-19 |
| 1306499017 | David Spalding Dds | Clinic/Center | 7518 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-07-22 |
| 1245700616 | Ismile Cms | Clinic/Center | 4600 S Park Ave Ste 6, Tucson, AZ 85714-1697 | 2018-11-28 |
| 1285104877 | Tbd IIi, Pllc | Clinic/Center | 1802 E Prince Rd, Tucson, AZ 85719-1965 | 2018-11-27 |
| 1144729849 | Casas Adobes Dentistry, Pllc | Clinic/Center | 7477 N Oracle Rd, Tucson, AZ 85704-6306 | 2018-02-08 |
| 1043685357 | Ronald G Deriana Dds Pllc | Clinic/Center | 1607 W Ina Rd, Tucson, AZ 85704-1979 | 2015-12-11 |
| 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.