NPI 1134425150
Pima County
Practice location
- Address
- 3950 S Country Club Rd Suite 3460, Tucson, AZ 85714-2099
- Phone
- (520) 243-7833
- Fax
- (520) 791-6500
Authorised official
- Name
- Laura J Samuelson
- Title
- Utilization and Claims Manager
- Phone
- (520) 724-2298
Registered specialties (2)
Public Health or Welfare Agency
Primary
Prison Health Clinic/Center
Registry record
- NPI
- 1134425150
- Entity type
- Organization
- NPI issued
- 9 Feb 2011
- Record last updated
- 5 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.