1457935934 NPI number — AMERICAN INDIAN ASSOCIATION OF TUCSON, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457935934 NPI number — AMERICAN INDIAN ASSOCIATION OF TUCSON, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN INDIAN ASSOCIATION OF TUCSON, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457935934
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2307
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85702-2307
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-884-7133
Provider Business Mailing Address Fax Number:
520-884-0240

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
160 N STONE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85701-1502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-884-7133
Provider Business Practice Location Address Fax Number:
520-884-0240
Provider Enumeration Date:
05/10/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CAGER
Authorized Official First Name:
PHOEBE
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
HEALTH SERVICES DIRECTOR
Authorized Official Telephone Number:
520-884-7131

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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