BANNER -- UNIVERSITY MEDICINE CRISIS RESPONSE CENTER LLC (NPI# 1881062230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881062230 |
Entity Type | Organization |
Organization Name | BANNER -- UNIVERSITY MEDICINE CRISIS RESPONSE CENTER LLC |
Practice Address |
2802 E District St Tucson AZ 85714-2081 |
Mailing Address |
2901 N Central Ave Phoenix AZ 85012-2700 |
Practice Telephone | 6022535100 |
Practice Fax Number | 6022660139 |
Enumeration Date | 2015-09-02 |
Last Update Date | 2015-10-29 |
Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 063118 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265806186 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 1, Tucson, AZ 85714-2081 | 2015-11-16 |
1174997092 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 2, Tucson, AZ 85714-2081 | 2015-11-16 |
Street Address |
2802 E DISTRICT ST |
City | TUCSON |
State | AZ |
Zip Code | 85714-2081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174851695 | Nita Kofchock | Psychiatry & Neurology | 2802 E District St, Tucson, AZ 85714-2081 | 2009-11-20 |
1053935510 | Adam Streiff | Nurse Practitioner | 2802 E District St, Tucson, AZ 85714-2081 | 2020-06-01 |
1326667270 | Jonathan Resille | Nurse Practitioner | 2802 E District St, Tucson, AZ 85714-2081 | 2020-04-10 |
1134634074 | Katharine R. Conrad | Physician Assistant | 2802 E District St, Tucson, AZ 85714-2081 | 2017-12-13 |
1700238433 | David R Goen | Nurse Practitioner | 2802 E District St, Tucson, AZ 85714-2081 | 2016-07-06 |
1639542038 | Envolve Peoplecare, Inc. | Counselor | 2802 E District St, Tucson, AZ 85714-2081 | 2015-11-06 |
1992174056 | Banner University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St, Tucson, AZ 85714-2081 | 2015-09-18 |
1285010827 | Stacy Stojakovic | Physician Assistant | 2802 E District St, Tucson, AZ 85714-2081 | 2015-08-05 |
1669890836 | Connections Southernaz, LLC Outpatient | Community/Behavioral Health | 2802 E District St, Tucson, AZ 85714-2081 | 2014-04-03 |
1104241082 | Connections Southernaz, LLC | Psychiatric Hospital | 2802 E District St, Tucson, AZ 85714-2081 | 2014-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
Find all providers in zip 85714 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013545144 | Tucson Counseling Associates, LLC | Clinic/Center | 125 E Mabel St, Tucson, AZ 85705-6654 | 2020-04-01 |
1043844756 | Restored Hope Counseling and Coaching Services | Clinic/Center | 4537 W Lord Redman Loop, Tucson, AZ 85741-4042 | 2020-03-03 |
1245876259 | Bamboo Wellness Pllc | Clinic/Center | 5151 E Broadway Blvd Ste 720, Tucson, AZ 85711-3783 | 2019-11-25 |
1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
1174997092 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 2, Tucson, AZ 85714-2081 | 2015-11-16 |
1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
1518358530 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 1600 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-02-12 |
1053524348 | Pasadera Behavioral Health Network, Inc. | Clinic/Center | 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 | 2007-05-07 |
1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
1659432763 | Adaptive Living Institute | Clinic/Center | 434 E 9th St, Tucson, AZ 85705-8580 | 2006-12-12 |
Find all providers in TUCSON |
Please comment or provide details below to improve the information on BANNER -- UNIVERSITY MEDICINE CRISIS RESPONSE CENTER LLC.
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.