1225901267 NPI number — CATHOLIC COMMUNITY SERVICES - SIERRA VISTA

Table of content: DR. CYNTHIA CASAS DSOM, LAC. (NPI 1053029231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225901267 NPI number — CATHOLIC COMMUNITY SERVICES - SIERRA VISTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATHOLIC COMMUNITY SERVICES - SIERRA VISTA
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:
1225901267
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
268 W ADAMS ST.
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:
85705-6534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-623-0344
Provider Business Mailing Address Fax Number:
520-770-8578

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6049 E HWY 90
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SIERRA VISTA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85635-9194
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-459-1285
Provider Business Practice Location Address Fax Number:
520-770-8578
Provider Enumeration Date:
09/25/2025

Additional Information

Authorized Official

Authorized Official Last Name:
RANDOLPH
Authorized Official First Name:
TERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
520-975-5920

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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