Provider Demographics
NPI:1851984363
Name:TSO FAMILY HEALTH INFORMATION SPECIALISTS LLC
Entity Type:Organization
Organization Name:TSO FAMILY HEALTH INFORMATION SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENIKKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSOSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-349-3367
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:CHINLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86503-0302
Mailing Address - Country:US
Mailing Address - Phone:928-349-3367
Mailing Address - Fax:
Practice Address - Street 1:3 MILES NE OF THE NPS
Practice Address - Street 2:
Practice Address - City:CHINLE
Practice Address - State:AZ
Practice Address - Zip Code:86503
Practice Address - Country:US
Practice Address - Phone:928-349-3428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty
No2470A2800XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationAssistant Record TechnicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ23173023OtherARIZONA CORP COMMISSION