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SAGE MEMORIAL HOSPITAL NPI 1447315494


NPI Information

NPI: 1447315494
Provider Name: SAGE MEMORIAL HOSPITAL

Doing Business As: SAGE MEMORIAL HOSPITAL

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
HWY 264 AND 191
GANADO, AZ
ZIP 86505
Phone: (928) 755-4500
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SAGE MEMORIAL HOSPITAL is a clinic pharmacy pharmacy in Ganado, AZ. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. SAGE MEMORIAL HOSPITAL NPI is 1447315494. The provider is registered as an organization entity type.
The provider Is Doing Business As Sage Memorial Hospital.

The provider's business location address is:

HWY 264 AND 191
GANADO, AZ
ZIP 86505
Phone: (928) 755-4500
Fax: (928) 755-4659

The provider's authorized official is Farid Kiyarash .
The authorized official title is Dir Of Phcy and has the following contact phone number (928) 755-4500.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 6/9/2009.


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
13336M0003XPharmacyManaged Care Organization PharmacyNo
23336C0002XPharmacyClinic PharmacyY000758ARIZONAYes

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
1021353MEDICAIDARIZONA
20308949OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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