| Organization Name: | SAN XAVIER DISTRICT OFFICE |
| NPI Number: | 1073694832 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRISCILLLA WHITETHORNE (SERVICE UNIT DIRECTOR) |
| Mailing Address: | 2018 W San Xavier Rd Tucson |
| State: | AZ US |
| Postal Code: | 857467416 |
| Phone Number: | 5202952503 |
| Fax Number: | 5202952676 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 05/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |