| Arizona Rehab Campus, Llc | |
|
6944 E Tanque Verde Rd Tucson AZ 85715 | |
| (623) 326-1055 | |
| (480) 659-1598 |
| Full Name | Arizona Rehab Campus, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6944 E Tanque Verde Rd, Tucson, Arizona |
| Authorized Official Name and Position | Nicole Williams (CLAIMS MGR) |
| Authorized Official Contact | 5205261028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Rehab Campus, Llc 6944 E Tanque Verde Rd Tucson AZ 85715-5308 Ph: (520) 526-1028 | Arizona Rehab Campus, Llc 6944 E Tanque Verde Rd Tucson AZ 85715 Ph: (623) 326-1055 |
| NPI Number | 1235657461 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 07/01/2019 |
| Medicare PECOS PAC ID | 9830441153 |
|---|---|
| Medicare Enrollment ID | O20181128000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235657461 | NPI | - | NPPES |
| OTC8336 | Other | AZ | ARIZONA STATE LICENSE |
| Provider Name | Diana G Verdugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003288945 PECOS PAC ID: 0345545877 Enrollment ID: I20160222002043 |
| Provider Name | Ian G Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576859 PECOS PAC ID: 9234491127 Enrollment ID: I20180312001486 |
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