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AGH LAVEEN LLC NPI 1053853978


NPI Information

NPI: 1053853978
Provider Name: AGH LAVEEN LLC

Doing Business As: DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 03D2118576

Address:
1910 S GILBERT RD
MESA, AZ
ZIP 85204
Phone: (972) 899-6630
Get Directions

AGH LAVEEN LLC is an emergency care clinic center in Mesa, AZ. AGH LAVEEN LLC NPI is 1053853978. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Arizona General Hospital Emergency Room.

The provider's business location address is:

1910 S GILBERT RD
MESA, AZ
ZIP 85204-808
Phone: (972) 899-6630

The provider's authorized official is Jane Hanson .
The authorized official title is Ceo and has the following contact phone number (480) 410-4523.

The CLIA number assigned to this NPI record is 03D2118576 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency CareH6937ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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