1477437986 NPI number — TON CASA GRANDE HEALTH CENTER

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 1477437986 NPI number — TON CASA GRANDE HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TON CASA GRANDE HEALTH CENTER
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:
1477437986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
TON SELLS HOSPITAL
Provider Second Line Business Mailing Address:
HIGHWAY 86 AT TOPAWA ROAD
Provider Business Mailing Address City Name:
SELLS
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-383-7200
Provider Business Mailing Address Fax Number:
520-496-3272

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TON CASA GRANDE HEALTH CENTER
Provider Second Line Business Practice Location Address:
1876 E SABIN DR., UNIT SUITE C-2
Provider Business Practice Location Address City Name:
CASA GRANDE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-383-7200
Provider Business Practice Location Address Fax Number:
520-496-3272
Provider Enumeration Date:
08/05/2025

Additional Information

Authorized Official

Authorized Official Last Name:
GERONIMO
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
520-383-7200

Provider Taxonomy Codes

  • Taxonomy code: 261QP0904X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com