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PHOENIX CHILDREN'S HOSPITAL INC. NPI 1275886434


NPI Information

NPI: 1275886434
Provider Name: PHOENIX CHILDREN'S HOSPITAL, INC.

Doing Business As: PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

CLIA Number: 03D1074669

Address:
5131 E SOUTHERN AVE
MESA, AZ
ZIP 85206
Phone: (602) 933-0002
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PHOENIX CHILDREN'S HOSPITAL, INC. is a children general acute care hospital in Mesa, AZ. PHOENIX CHILDREN'S HOSPITAL, INC. NPI is 1275886434. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Children's Surgery Center - East Valley.

The provider's business location address is:

5131 E SOUTHERN AVE
MESA, AZ
ZIP 85206-799
Phone: (602) 933-0002
Fax: (602) 933-6216

The provider's authorized official is Raheel Farough .
The authorized official title is Svp, Managed Care & Payer Strategy and has the following contact phone number (602) 933-3548.

The CLIA number assigned to this NPI record is 03D1074669 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 5/18/2023.


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
1282NC2000XGeneral Acute Care HospitalChildrenSH3107ARIZONAYes

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
1706707MEDICAIDARIZONA
2876253MEDICAIDARIZONA

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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