1093240020 NPI number — COTTONWOOD TUCSON OUTPATIENT SERVICES

Table of content: (NPI 1093240020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093240020 NPI number — COTTONWOOD TUCSON OUTPATIENT SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COTTONWOOD TUCSON OUTPATIENT SERVICES
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:
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:
1093240020
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4110 W SWEETWATER DR BLDG 16
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:
85745-9348
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-743-0411
Provider Business Mailing Address Fax Number:
520-743-7991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4110 W SWEETWATER DR BLDG 16
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:
85745-9348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-743-0411
Provider Business Practice Location Address Fax Number:
520-743-7991
Provider Enumeration Date:
04/27/2017

Additional Information

Authorized Official

Authorized Official Last Name:
JACOBSON
Authorized Official First Name:
EILEEN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
DIRECTOR HEALTH INFO MGMT/COMPLIANC
Authorized Official Telephone Number:
520-743-2162

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  OTC7911 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X , with the licence number: OTC7911 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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