| Organization Name: | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SANTA ROSA CLINIC |
| NPI Number: | 1770581639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARLENE RAYMOND (BUDGET ANALYST) |
| Mailing Address: | Hwy 86 @ Tapawa Rd Sells |
| State: | AZ US |
| Postal Code: | 85634 |
| Phone Number: | 5203835570 |
| Fax Number: | 5203835572 |
| NPI Enumeration Date: | 07/13/2005 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0904X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, Federal |
| Taxonomy Definition: | |