Provider Demographics
NPI:1962669929
Name:UNIVERSITY MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:UNIVERSITY MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERN MANAGER OF 4NW CV ICU
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-694-5046
Mailing Address - Street 1:3015 N MOUNTAIN AVE
Mailing Address - Street 2:# 1
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2637
Mailing Address - Country:US
Mailing Address - Phone:520-780-7632
Mailing Address - Fax:
Practice Address - Street 1:3015 N MOUNTAIN AVE
Practice Address - Street 2:# 1
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2637
Practice Address - Country:US
Practice Address - Phone:520-780-7632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN134291282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access