Provider Demographics
NPI:1467787663
Name:UNIVERSITY PHYSICIANS HEALTHCARE/UNIVERSITY OF ARIZONA MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY PHYSICIANS HEALTHCARE/UNIVERSITY OF ARIZONA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MERILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-874-4502
Mailing Address - Street 1:2800 E AJO WAY
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6204
Mailing Address - Country:US
Mailing Address - Phone:520-874-4502
Mailing Address - Fax:520-874-4510
Practice Address - Street 1:2800 E AJO WAY
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6204
Practice Address - Country:US
Practice Address - Phone:520-874-4502
Practice Address - Fax:520-874-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access