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PHOENIX CHILDREN'S HOSPITAL NPI 1457402364


NPI Information

NPI: 1457402364
Provider Name: PHOENIX CHILDREN'S HOSPITAL

Doing Business As: PHOENIX CHILDREN'S HOSPITAL - DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1920 E CAMBRIDGE AVE
STE 102
PHOENIX, AZ
ZIP 85006
Phone: (602) 933-3220
Get Directions

PHOENIX CHILDREN'S HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. PHOENIX CHILDREN'S HOSPITAL NPI is 1457402364. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Children's Hospital - Dialysis Center.

The provider's business location address is:

1920 E CAMBRIDGE AVE
STE 102
PHOENIX, AZ
ZIP 85006-459
Phone: (602) 933-3220
Fax: (602) 933-0502

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

The enumeration date for this NPI number is 1/16/2007 and was last updated on 5/22/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentOTC 3741ARIZONANo
2261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentMED2169ARIZONAYes

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
1MED2169OTHERARIZONAAZ DEPT OF HEALTH SERVICES

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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