PASCUA YAQUI TRIBE


Address: 2861 W Via Hacienda, Tucson, AZ 85741-3424
Phone: 5208796163

PASCUA YAQUI TRIBE (NPI# 1467661470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467661470
Entity Type Organization
Organization Name PASCUA YAQUI TRIBE
Other Organization Name YOEME KARI GROUP HOME
Practice Address 2861 W Via Hacienda
Tucson
AZ 85741-3424
Mailing Address 7490 S. Camino De Oeste
Tucson
AZ 85757
Practice Telephone 5208796163
Practice Fax Number 5208796099
Mailing Telephone 5208796163
Mailing Fax Number 5208796099
Enumeration Date 2007-05-22
Last Update Date 2020-08-22
Authorized Official Name MRS. ROSA M. RIVERA (BUSINESS MANAGER)
Authorized Official Telephone 5208796163
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children BH2114 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 716011 05
AZ 218075 05

Other Provider/Organization Names

Other Name Type Code
Yoeme Kari Group Home Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194230672 Pascua Yaqui Tribe Community/Behavioral Health 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 2017-12-06
1073767984 Pascua Yaqui Tribe Case Management 4960 W Vai Sevoi, Tucson, AZ 85757-9073 2008-11-05
1215055777 Pascua Yaqui Tribe Ambulance 7474 S Camino De Oeste, Tucson, AZ 85746-9308 2007-03-26
1356415319 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2006-11-20
1477868396 Pascua Yaqui Tribe Clinic/Center 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2010-08-16
1619207370 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2009-12-31
1912178997 Pascua Yaqui Tribe Community/Behavioral Health 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 2008-03-18
1649488305 Pascua Yaqui Tribe Technician/Technologist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-05-18
1275754392 Pascua Yaqui Tribe Clinic/Center 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-05-02
1720118821 Pascua Yaqui Tribe Home Health 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2007-03-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE 7474 S Camino De Oeste, Tucson, AZ 85746-9308
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE CHARITABLE ORGANIZATION 7473 S Ta A Voo O, Tucson, AZ 85757-8944
System for Award Management (SAM) Entities PASCUA YAQUI TRIBE DIALYSIS 7490 S Camino De Oeste, Tucson, AZ 85757-9308

Office Location

Street Address 2861 W VIA HACIENDA
City TUCSON
State AZ
Zip Code 85741-3424

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

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NPI Name Taxonomy Address Enumeration
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Competitor

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City TUCSON
Zip Code 85741

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Dataset Information

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.

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