| Harrison994 | |
|
994 S Harrison Rd Tucson AZ 85748-6608 | |
| (520) 721-1887 | |
| (520) 721-0069 |
| Full Name | Harrison994 |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 994 S Harrison Rd, Tucson, Arizona |
| Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison994 Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Harrison994 994 S Harrison Rd Tucson AZ 85748-6608 Ph: (520) 721-1887 |
| NPI Number | 1083846661 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Medicare PECOS PAC ID | 5395023048 |
|---|---|
| Medicare Enrollment ID | O20161031002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083846661 | NPI | - | NPPES |
| OTC5916 | Other | AZ | STATE LICENSE |
| 451145 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3355 (Arizona) | Primary |
| Provider Name | Sylvia Patricia Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578822680 PECOS PAC ID: 6901052166 Enrollment ID: I20120803000764 |
| Provider Name | Robin L Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629101217 PECOS PAC ID: 7911043252 Enrollment ID: I20150307000288 |
| Provider Name | Greta Liz Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619365954 PECOS PAC ID: 4587980594 Enrollment ID: I20150311000583 |
| Provider Name | Ian Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417402280 PECOS PAC ID: 8820374911 Enrollment ID: I20170403002154 |
| Provider Name | Lindsey M Retterath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417334970 PECOS PAC ID: 3971817925 Enrollment ID: I20180530003050 |
| Provider Name | Charles Christian Kohnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399027 PECOS PAC ID: 2961799192 Enrollment ID: I20180903000080 |
| Provider Name | Denise M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780147405 PECOS PAC ID: 6709119027 Enrollment ID: I20190531000458 |
| Provider Name | Alaina N Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386271104 PECOS PAC ID: 4880076827 Enrollment ID: I20230627002115 |
| Provider Name | Seena Sunny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164283818 PECOS PAC ID: 7113362534 Enrollment ID: I20240226001203 |
| Provider Name | Joy-anne Simone James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205381498 PECOS PAC ID: 2567742380 Enrollment ID: I20240229003657 |
| Provider Name | Peter Francis Tolhurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225554363 PECOS PAC ID: 6709321185 Enrollment ID: I20240710000255 |
| Provider Name | Gybrielle N'shae Demaree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700616737 PECOS PAC ID: 7618416603 Enrollment ID: I20240821004666 |
| Provider Name | Toni Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598481822 PECOS PAC ID: 4880030212 Enrollment ID: I20241203000887 |
| Provider Name | Philip Allen Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312577 PECOS PAC ID: 4486173457 Enrollment ID: I20250522001054 |
| Provider Name | Matilda Otang Eyong Epse Ebaietaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952159253 PECOS PAC ID: 8729594114 Enrollment ID: I20250722004052 |
| Provider Name | Frances Holguin-westfall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447979455 PECOS PAC ID: 8022500784 Enrollment ID: I20251120003697 |
| Provider Name | Iniobong Idorenyin Koffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285597617 PECOS PAC ID: 7719462647 Enrollment ID: I20260330001334 |
| Provider Name | Hannah E Flint |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891588950 PECOS PAC ID: 4385110535 Enrollment ID: I20260415003837 |
| Provider Name | Chalita Tepsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740064583 PECOS PAC ID: 1658840582 Enrollment ID: I20260520000827 |
| Provider Name | Jennifer Webb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386369973 PECOS PAC ID: 5395215990 Enrollment ID: I20260526000151 |
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