| |
Highway 86 At Topawa Road Sells AZ 85634 | |
(520) 383-7251 | |
(520) 383-7216 |
Full Name | |
---|---|
Speciality | Social Worker - Clinical |
Location | Highway 86 At Topawa Road, Sells, Arizona |
Authorized Official Name and Position | Kurt Priessman (ACCOUNTING AND BUDGET OFFICER) |
Authorized Official Contact | 5202952427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2427 | Highway 86 At Topawa Road Sells AZ 85634 Ph: (520) 383-7251 |
NPI Number | 1457321234 |
---|---|
Provider Enumeration Date | 01/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457321234 | NPI | - | NPPES |
020579-03 | Medicaid | AZ | |
706921-01 | Medicaid | AZ | |
AZ0209580 | Other | AZ | BC/BSAZ PROV NO |
0325642 | Other | AZ | NACADP# |
1487652426 | Other | AZ | FACILITY NPI # |