1326220666 NPI number — DHHS PHS IHS TUCSON AREA TUCSON SELLS INDIAN HOSPITAL

Table of content: WILLIAM LANDON CRABTREE O.T. (NPI 1649676750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326220666 NPI number — DHHS PHS IHS TUCSON AREA TUCSON SELLS INDIAN HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DHHS PHS IHS TUCSON AREA TUCSON SELLS INDIAN HOSPITAL
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:
1326220666
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7900 S J STOCK RD
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:
85746-7012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-295-2503
Provider Business Mailing Address Fax Number:
520-295-2676

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HWY 86 AND TOPAWA ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SELLS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-295-2503
Provider Business Practice Location Address Fax Number:
520-295-2676
Provider Enumeration Date:
11/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WHITETHORNE
Authorized Official First Name:
PRISCILLA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
520-383-7251

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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