DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC (NPI# 1285697151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285697151 |
| Entity Type | Organization |
| Organization Name | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC |
| Other Organization Name | SAN XAVIER CLINIC OSP |
| Practice Address |
7900 S J Stock Rd Tucson AZ 85746-7012 |
| Practice Telephone | 5202952427 |
| Practice Fax Number | 5202952611 |
| Mailing Telephone | 5202952427 |
| Mailing Fax Number | 5202952611 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KURT PRIESSMAN (ACCOUNTING AND BUDGET OFFICER) |
| Authorized Official Telephone | 5202952427 |
| Authorized Official Credential | B.A., M.B.A., C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BC/BSAZ PROV NO | AZ0209620 | 01 |
| AZ | 147133-03 | 05 | |
| AZ | FACILITY NPI# | 1437157302 | 01 |
| AZ | 706921-01 | 05 |
| Other Name | Type Code |
|---|---|
| SAN XAVIER CLINIC OSP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253887 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Nurse's Aide | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1649233685 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Physician Assistant | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1043273006 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1124081187 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Optometrist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1548223415 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Podiatrist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1184687055 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Physical Therapy Assistant | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| 1629031596 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Spec/Tech, Pathology | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
| Street Address |
7900 S J STOCK RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85746-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157302 | Ton San Xavier Health Center | Clinic/Center | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2005-07-13 |
| 1376187286 | Chantel Benally | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-11-04 |
| 1285277335 | Karina Ruby Duenas | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-10-22 |
| 1073178547 | Frances Ann Sharliene | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2019-05-09 |
| 1154824233 | Tiffany Lynch | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-03-14 |
| 1023526290 | Anabel Aguayo | Social Worker | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-22 |
| 1508373762 | Beatrice Naliaka Muse | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2018-01-09 |
| 1457862856 | Nichole Jasmine Hardy | Registered Nurse | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-12 |
| 1306356324 | Lillian Marie Howden | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-10-04 |
| 1154844355 | Gabriel James Claymore Cuny | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303465 | Sighle U Singh | Registered Nurse | San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 | 2019-09-03 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1073167854 | Michael Whiting | Dentist | 1979 West Valencia Road, Tucson, AZ 85746 | 2019-07-30 |
| 1609328350 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 10350 E. Drexel Rd. #130, Tucson, AZ 85746 | 2016-10-28 |
| 1790139624 | Jason Wilhoit | Counselor | 2345 N Castro Ave, Tucson, AZ 85746 | 2016-04-18 |
| 1851764344 | Yvonne M Escobar | Registered Nurse | 4400 W. Irvington Rd, Tucson, AZ 85746 | 2015-11-05 |
| 1841543626 | Dora Palacios | Contractor | 3042 W. Capistrano Rd., Tucson, AZ 85746 | 2012-10-18 |
| 1972854347 | Alfonzo Lopez II | Social Worker | 5436 South Camino De La Tiera, Tucson, AZ 85746 | 2012-09-26 |
| 1497030449 | Bhavin Patel | Pharmacist | 1550 W Valencia, Tucson, AZ 85746 | 2011-10-20 |
| 1427333012 | Brita A. Reams | Registered Nurse | 4700 S. Settler Avenue, Tucson, AZ 85746 | 2011-10-15 |
| Find all providers in zip 85746 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548627698 | Bouba Hamadou | Driver | 2602 W Kimberley St, Tucson, AZ 85705-1122 | 2016-01-20 |
| 1811218522 | Alromesa Mohamed | Driver | 2816 North Sparkman Blvd, Tucson, AZ 85716-1943 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508342 | Dbotc LLC | Driver | 20987 N John Wayne Pkwy # B104-289, Maricopa, AZ 85139-2926 | 2020-11-03 |
| 1578179552 | Joshua M Bearden | Driver | 8433 N Black Canyon Hwy Ste 180, Phoenix, AZ 85021-4800 | 2020-09-16 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1730670001 | Abdifatah Mohamed | Driver | 4040 E Mcdowell Rd Ste 313, Phoenix, AZ 85008-4447 | 2018-05-23 |
| 1942703921 | Mrt Transportation LLC | Driver | 320 S Nina Dr Ste 17, Mesa, AZ 85210-8466 | 2018-03-15 |
| 1417468075 | Mustafa Arbab | Driver | 2142 W Osborn Rd, Phoenix, AZ 85015-5731 | 2017-10-22 |
| 1750826566 | George Prempeh | Driver | 4512 W Donner Dr, Laveen, AZ 85339-4262 | 2017-01-03 |
| 1124574579 | Fitsum Abreha Sr. | Driver | 4760 N 28th St, Phoenix, AZ 85016-4846 | 2016-08-26 |
| 1154774107 | Dwight M Malone | Driver | 1505 N Country Club Dr Apt 118, Mesa, AZ 85201-2518 | 2016-07-14 |
| 1831554724 | Alison Gray | Driver | 3410 N 126th Ln, Avondale, AZ 85392-6341 | 2015-12-21 |
| Find all providers with the same taxonomy | ||||
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| 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.