| Banner - University Medical Center South Campus Llc | |
|
2800 E Ajo Way Tucson AZ 85713-6204 | |
| (520) 874-2000 | |
| Not Available |
| Full Name | Banner - University Medical Center South Campus Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2800 E Ajo Way, Tucson, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner - University Medical Center South Campus Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner - University Medical Center South Campus Llc 2800 E Ajo Way Tucson AZ 85713-6204 Ph: (520) 874-2000 |
| NPI Number | 1801284617 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 0446576755 |
|---|---|
| Medicare Enrollment ID | O20150304001996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801284617 | NPI | - | NPPES |
| 03S111 | Other | AZ | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Nancy E Campbell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 E. Speedway Blvd., Suite 100, Tucson, AZ 85719 Phone: 520-878-7857 Fax: 520-572-2049 | |
Counterpoint Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 N Swan Rd Ste 200-2, Tucson, AZ 85712 Phone: 520-990-3122 | |
Psyche Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5240 E Knight Dr Ste 120, Tucson, AZ 85712 Phone: 520-795-0309 Fax: 520-795-2030 | |
Counseling Directions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N Alvernon Way Ste 105, Tucson, AZ 85711 Phone: 520-561-8773 | |
Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
B. Robert Crago Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5363 E Pima St Ste 100, Tucson, AZ 85712 Phone: 520-323-0062 Fax: 520-323-1336 | |
Catalina Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16358 N Forecastle Ave, Tucson, AZ 85739 Phone: 602-367-9807 |