PHOENIX CHILDREN'S HOSPITAL NPI 1457402364

NPI Information

NPI: 1457402364
Provider Name: PHOENIX CHILDREN'S HOSPITAL
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: PHOENIX CHILDREN'S HOSPITAL - DIALYSIS CENTER
Address: 1920 E CAMBRIDGE AVE
STE 102
PHOENIX, AZ
ZIP 85006
Phone: (602) 933-3220

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	OTC 3741	ARIZONA	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	MED2169	ARIZONA	Yes

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
1	MED2169	OTHER	ARIZONA	AZ 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: 3/30/2025

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