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 | 282N00000X | General Acute Care Hospital | | H0167 | 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 | 446246 | MEDICAID | ARIZONA | |
| 2 | 860117301 | OTHER | ARIZONA | AZ FOUNDATION FOR MED CAR |
| 3 | 860117301 | OTHER | ARIZONA | HEALTH MGMT NETWORK |
| 4 | 0676381 | OTHER | ARIZONA | AETNA HEALTH INC. |
| 5 | 860117301 | OTHER | ARIZONA | FEDERAL CORRECTIONAL INST |
| 6 | AZ0204830 | OTHER | ARIZONA | BLUE CROSS AZ |
| 7 | 860117301 | OTHER | ARIZONA | FIRST HEALTH |
| 8 | 860117301 | OTHER | ARIZONA | AZ STATE PHYS ASSOC |
| 9 | 860117301 | OTHER | ARIZONA | CHOICE CARE NETWORK |
| 10 | 860117301 | OTHER | ARIZONA | ACCOUNTABLE HEALTH PLANS |
| 11 | 860117301 | OTHER | ARIZONA | COMMUNITY CARE NETWORK |
| 12 | 860117301 | OTHER | ARIZONA | BEECH STREET |
| 13 | 0000 | OTHER | ARIZONA | BLUE CROSS TRICARE |
| 14 | 860117301 | OTHER | ARIZONA | DONOR NETWORK OF AZ |
| 15 | 860117301 | OTHER | ARIZONA | AZ DEPT OF JUVENILE CORR |
| 16 | 860117301 | OTHER | ARIZONA | CITY OF GLENDALE WORKERS |
