Provider Demographics
NPI:1689627903
Name:ORO VALLEY HOSPITAL LLC
Entity Type:Organization
Organization Name:ORO VALLEY HOSPITAL LLC
Other - Org Name:NORTHWEST TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/DELEGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-215-3953
Mailing Address - Street 1:PO BOX 849870
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9870
Mailing Address - Country:US
Mailing Address - Phone:520-901-3500
Mailing Address - Fax:520-901-3525
Practice Address - Street 1:2025 W ORANGE GROVE RD FL 1
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1118
Practice Address - Country:US
Practice Address - Phone:520-403-2563
Practice Address - Fax:844-418-7582
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORO VALLEY HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ921107Medicaid
03T114Medicare Oscar/Certification