HOLON HEALTH GREAT LAKES, P.C.
NPI 1740084896
Clinic/Center - Community Health in Tucson, AZ

Active since April 01, 2025
5650 S 12TH AVE STE 132, TUCSON, AZ 85706(877) 465-6650 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2026, Mar 20, 2026, Apr 1, 2025 (3 updates tracked since 2025).

  • Organization
  • Clinic/Center
  • Community Health

About HOLON HEALTH GREAT LAKES, P.C.

This page provides the complete NPI Profile along with additional information for Holon Health Great Lakes, P.c., a primary care provider established in Tucson, Arizona operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1740084896 assigned on April 2025. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Jason Herzog (Ceo)

NPI
1740084896 Verify this NPI
Provider Name
HOLON HEALTH GREAT LAKES, P.C.
Entity Type
Organization
Location Address
5650 S 12TH AVE STE 132 TUCSON, AZ 85706
Location Phone
(877) 465-6650
Mailing Address
3540 PUMP RD # 1188 RICHMOND, VA 23233
Mailing Phone
(804) 955-5246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2025
Last Update Date
03-30-2026
Code Navigator

A primary care provider (PCP) like Holon Health Great Lakes, P.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1740 N Mastick Way Ste C
    Nogales, AZ 85621
    (877) 465-6650

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON HERZOG

Authorized Official Title
CEO
Authorized Official Phone
(804) 955-5246

Reviews for HOLON HEALTH GREAT LAKES, P.C.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
5650 S 12TH AVE STE 132
TUCSON, AZ 85706
Nurse Practitioner (Family)
5650 S 12TH AVE STE 132
TUCSON, AZ 85706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740084896, enumerated as an "organization" on April 01, 2025.

The provider is located at 5650 S 12TH AVE STE 132 TUCSON, AZ 85706 and the phone number is (877) 465-6650.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.