PHOENIX CHILDREN'S HOSPITAL NPI 1376944298

NPI Information

  • NPI: 1376944298
  • Provider Name: PHOENIX CHILDREN'S HOSPITAL
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Other Name: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CLINIC MERCY GILBERT
  • CLIA Number: 03D0692210
  • Address: 3420 S MERCY RD
    STE 121
    GILBERT, AZ
    ZIP 85297
  • Phone: (602) 933-6262

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NPI Details

PHOENIX CHILDREN'S HOSPITAL is a multi-specialty clinic center in Gilbert, AZ. PHOENIX CHILDREN'S HOSPITAL NPI is 1376944298. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix Children's Hospital Specialty Clinic Mercy Gilbert.

The provider's business location address is:

3420 S MERCY RD
STE 121
GILBERT, AZ
ZIP 85297-419
Phone: (602) 933-6262

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

The CLIA number assigned to this NPI record is 03D0692210 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 4/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtySH3107ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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