Provider Demographics
NPI:1265732028
Name:AALA HEALTHCARE, PLLC
Entity type:Organization
Organization Name:AALA HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:R
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:520-904-1539
Mailing Address - Street 1:7225 N PASEO DEL NORTH
Mailing Address - Street 2:#3
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-904-1539
Mailing Address - Fax:520-544-0042
Practice Address - Street 1:7225 N PASEO DEL NORTE
Practice Address - Street 2:#3
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4412
Practice Address - Country:US
Practice Address - Phone:520-904-1539
Practice Address - Fax:520-544-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ815730Medicaid
AZZ141490Medicare PIN