Provider Demographics
NPI:1730305442
Name:ARIZONA COMMUNITY PHYSICIANS, PC
Entity Type:Organization
Organization Name:ARIZONA COMMUNITY PHYSICIANS, PC
Other - Org Name:ARIZONA COMMUNITY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE DIRECTOR, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TEREASA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-894-1691
Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:SUITE A100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:3443 N CAMPBELL AVE
Practice Address - Street 2:SUITE135
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2379
Practice Address - Country:US
Practice Address - Phone:520-547-2062
Practice Address - Fax:520-547-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic