SMSJ TUCSON HOLDINGS LLC (NPI# 1720454341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720454341 |
| Entity Type | Organization |
| Organization Name | SMSJ TUCSON HOLDINGS LLC |
| Other Organization Name | BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARYS HOSPITAL |
| Practice Address |
1601 W Saint Marys Rd Tucson AZ 85745-2623 |
| Mailing Address |
Po Box 204702 Dallas TX 75320-4702 |
| Practice Telephone | 5208723000 |
| Practice Fax Number | 5208724926 |
| Mailing Telephone | 4698932000 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MR. CRAIG C ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | Y |
| Parent Organization Name | SMSJ TUCSON HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Bridges Geropsychiatric Program at St. Marys Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1710353339 | Smsj Tucson Holdings LLC | Rehabilitation Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| 1538535158 | Smsj Tucson Holdings LLC | Radiology | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 1306212923 | Smsj Tucson Holdings LLC | Rehabilitation Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 1801262423 | Smsj Tucson Holdings LLC | Psychiatric Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 1265818488 | Smsj Tucson Holdings LLC | Radiology | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-11 |
| Street Address |
1601 W SAINT MARYS RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775528 | David A Boswell | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2005-07-21 |
| 1285113654 | Marissa Kryger | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2018-08-07 |
| 1114438926 | Tamra L Mullen | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-10-19 |
| 1881117703 | Marybeth Theano Serdenes | Occupational Therapist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-07-23 |
| 1669907713 | May Grace Kushner | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-26 |
| 1588198006 | Charles Elliott | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-12 |
| 1093259640 | Robert Theodore Galey | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-12-15 |
| 1962944702 | Sound Physicians Intensivists of Arizona, Inc | Family Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-11-10 |
| 1699146324 | Lydia Esabia Fernandez | Registered Nurse | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-10-07 |
| 1710353339 | Smsj Tucson Holdings LLC | Rehabilitation Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417032145 | Carondelet Health Network | Psychiatric Unit | 1601 West St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-25 |
| 1609957141 | Carondelet Health Network | Psychiatric Unit | 1601 W St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1750462107 | Carondelet Health Network | Psychiatric Unit | 1802 West St. Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1073614905 | Lafrontera Center Inc. | Psychiatric Unit | 1601 E. Apache Park Place, Tucson, AZ 85714 | 2006-09-25 |
| 1801262423 | Smsj Tucson Holdings LLC | Psychiatric Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 1801284617 | Banner -- University Medical Center South Campus LLC | Psychiatric Unit | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2014-12-31 |
| 1750788667 | Carondelet Health Network | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2014-11-21 |
| 1417361239 | Tucson Medical Center | Psychiatric Unit | 2221 N Rosemont Blvd, Tucson, AZ 85712-2113 | 2014-06-19 |
| 1417290958 | Carondelet Health Network | Psychiatric Unit | 350 N Wilmot Rd, Suite 150-23a, Tucson, AZ 85711-2602 | 2013-04-03 |
| 1841435187 | Pima Psychiatric Associates, Inc. | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2008-12-15 |
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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.