Provider Demographics
NPI:1265745749
Name:PIMA COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:PIMA COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-243-7797
Mailing Address - Street 1:130 W CONGRESS ST
Mailing Address - Street 2:MAILSTOP DT-BAB6-401
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-1317
Mailing Address - Country:US
Mailing Address - Phone:520-243-8914
Mailing Address - Fax:520-243-8909
Practice Address - Street 1:3950 S COUNTRY CLUB RD
Practice Address - Street 2:ROOM 1357
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-2099
Practice Address - Country:US
Practice Address - Phone:520-243-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare