Provider Demographics
NPI:1548379530
Name:SOUTHERN ARIZONA HEALTH CARE SYSTEM
Entity Type:Organization
Organization Name:SOUTHERN ARIZONA HEALTH CARE SYSTEM
Other - Org Name:VETERANS ADMINISTRATION
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LINN
Authorized Official - Last Name:GIROIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-792-1450
Mailing Address - Street 1:3601 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:
Practice Address - Street 1:7889 S KILBRENNAN WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-5417
Practice Address - Country:US
Practice Address - Phone:520-574-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP019691164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty