Provider Demographics
NPI:1134425150
Name:PIMA COUNTY
Entity type:Organization
Organization Name:PIMA COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:UTILIZATION AND CLAIMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAMUELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-724-2298
Mailing Address - Street 1:3950 S COUNTRY CLUB RD
Mailing Address - Street 2:SUITE 3460
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85714-2099
Mailing Address - Country:US
Mailing Address - Phone:520-243-7833
Mailing Address - Fax:520-791-6500
Practice Address - Street 1:3950 S COUNTRY CLUB RD
Practice Address - Street 2:SUITE 3460
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-2099
Practice Address - Country:US
Practice Address - Phone:520-243-7833
Practice Address - Fax:520-791-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health