| Crc-outpatient Services | |
|
2802 E District St Fl 1 Tucson AZ 85714-2081 | |
| (520) 301-2400 | |
| Not Available |
| Full Name | Crc-outpatient Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2802 E District St Fl 1, Tucson, Arizona |
| Authorized Official Name and Position | Janice Talas-denny (PROVIDER NETWORK MANAGMENT ASSOC) |
| Authorized Official Contact | 6024167647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crc-outpatient Services 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: (602) 416-7652 | Crc-outpatient Services 2802 E District St Fl 1 Tucson AZ 85714-2081 Ph: (520) 301-2400 |
| NPI Number | 1982362943 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 2769874197 |
|---|---|
| Medicare Enrollment ID | O20220117000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362943 | NPI | - | NPPES |
| OTC11316 | Other | AZ | STATE LICENSE |
| 106201 | Medicaid | AZ |
| Provider Name | Gladys Loyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871692616 PECOS PAC ID: 9931196839 Enrollment ID: I20040430000268 |
| Provider Name | Deane Apperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902885932 PECOS PAC ID: 0446215370 Enrollment ID: I20041119000791 |
| Provider Name | Richard S Rhoads |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033149265 PECOS PAC ID: 4587612148 Enrollment ID: I20050110001199 |
| Provider Name | Kathy W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629087143 PECOS PAC ID: 4688622194 Enrollment ID: I20050111000368 |
| Provider Name | Sally A Boeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053527077 PECOS PAC ID: 7214025857 Enrollment ID: I20071115000591 |
| Provider Name | Rebecca H Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033467394 PECOS PAC ID: 6002068962 Enrollment ID: I20121129000188 |
| Provider Name | Margaret E Balfour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912101239 PECOS PAC ID: 1557556669 Enrollment ID: I20140616001790 |
| Provider Name | Comfort D Impraim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610239 PECOS PAC ID: 8820306533 Enrollment ID: I20150930000241 |
| Provider Name | Catherine M Etori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722633 PECOS PAC ID: 6103145974 Enrollment ID: I20151106000597 |
| Provider Name | Joy Kwakuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215303946 PECOS PAC ID: 6305147521 Enrollment ID: I20151214000279 |
| Provider Name | Holly M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003353533 PECOS PAC ID: 9830475425 Enrollment ID: I20170413002290 |
| Provider Name | Mary L Acuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770662371 PECOS PAC ID: 7214293000 Enrollment ID: I20171110001463 |
| Provider Name | Fuanjia Fuangunyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500671 PECOS PAC ID: 3678807427 Enrollment ID: I20190627001538 |
| Provider Name | David R Goen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700238433 PECOS PAC ID: 0749578979 Enrollment ID: I20200413002643 |
| Provider Name | Adam Streiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053935510 PECOS PAC ID: 8426471418 Enrollment ID: I20200709001396 |
| Provider Name | Sophia D Falana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818984 PECOS PAC ID: 1951721950 Enrollment ID: I20201013001767 |
| Provider Name | Sadia Ghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700267093 PECOS PAC ID: 5496010779 Enrollment ID: I20210812003027 |
| Provider Name | Stephanie A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407524630 PECOS PAC ID: 0749661718 Enrollment ID: I20220721003104 |
| Provider Name | Gina Pollina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396216289 PECOS PAC ID: 7618308248 Enrollment ID: I20220909002578 |
| Provider Name | Carinna Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780279786 PECOS PAC ID: 0042511487 Enrollment ID: I20221007001982 |
| Provider Name | Vanessa Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225773468 PECOS PAC ID: 2567848898 Enrollment ID: I20221010002317 |
| Provider Name | Yemi Olufunmilayo Alejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396243457 PECOS PAC ID: 6608130042 Enrollment ID: I20221123002450 |
| Provider Name | Kayode Wemimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932852449 PECOS PAC ID: 3971983149 Enrollment ID: I20230511000538 |
| Provider Name | Antonia Marie Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386256808 PECOS PAC ID: 7517325939 Enrollment ID: I20230629002156 |
| Provider Name | Kelly Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821713447 PECOS PAC ID: 1254793508 Enrollment ID: I20230817002883 |
| Provider Name | Daniel Jon Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770065229 PECOS PAC ID: 7113350893 Enrollment ID: I20230912004378 |
| Provider Name | Yaara Geva Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558973065 PECOS PAC ID: 3173977311 Enrollment ID: I20230921003773 |
| Provider Name | Promise A Iteinjoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880958 PECOS PAC ID: 8527441997 Enrollment ID: I20231009001096 |
| Provider Name | Linda M Mekang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801503008 PECOS PAC ID: 6901249085 Enrollment ID: I20240206000555 |
| Provider Name | Matthew Jay Boutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104690064 PECOS PAC ID: 0941644363 Enrollment ID: I20240214000001 |
| Provider Name | Amber Tressa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003686437 PECOS PAC ID: 4284070129 Enrollment ID: I20240313002827 |
| Provider Name | Sara Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376321901 PECOS PAC ID: 1850833492 Enrollment ID: I20240611000733 |
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 | |
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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 | |
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