Provider Demographics
NPI:1245027838
Name:VISTA SPECIALTY HOSPITAL OF TUCSON, LLC
Entity type:Organization
Organization Name:VISTA SPECIALTY HOSPITAL OF TUCSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & COO
Authorized Official - Prefix:
Authorized Official - First Name:SWENDA
Authorized Official - Middle Name:MOREH
Authorized Official - Last Name:BEITPOULICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-453-7474
Mailing Address - Street 1:211 S STATE COLLEGE BLVD UNIT 10212
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-4116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7220 E ROSEWOOD ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1350
Practice Address - Country:US
Practice Address - Phone:520-546-4595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital