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EAST MESA MEDICAL CENTER NPI 1073064879


NPI Information

NPI: 1073064879
Provider Name: EAST MESA MEDICAL CENTER

Doing Business As: DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM

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

Specialization: Emergency Care

CLIA Number: 03D2100275

Address:
1833 N POWER RD
MESA, AZ
ZIP 85205
Phone: (480) 398-7340
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EAST MESA MEDICAL CENTER is an emergency care clinic center in Mesa, AZ. EAST MESA MEDICAL CENTER NPI is 1073064879. 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:

1833 N POWER RD
MESA, AZ
ZIP 85205-799
Phone: (480) 398-7340

The provider's authorized official is Heather Weimer .
The authorized official title is Svp, Operational Services and has the following contact phone number (972) 899-6630.

The CLIA number assigned to this NPI record is 03D2100275 - other - free standing er with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1030136MEDICARE OSCAR/CERTIFICATION

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: 4/28/2024

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