Provider Demographics
NPI:1174923841
Name:UNIVERSITY PHYSICIANS HEALTHCARE
Entity type:Organization
Organization Name:UNIVERSITY PHYSICIANS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:KENNEY
Authorized Official - Last Name:HAMILL SKOCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-626-7739
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:7OPC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-6255
Mailing Address - Fax:520-626-4070
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:7OPC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-6255
Practice Address - Fax:520-626-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4546261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)