PHOENIX CHILDREN'S HOSPITAL, INC.; NPI #1215271911

Contact Information

PHOENIX CHILDREN'S HOSPITAL, INC.

5131 E SOUTHERN AVE
MESA, AZ 85206-2799

Phone: 602-933-0002
Fax: 602-933-6216
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for PHOENIX CHILDREN'S HOSPITAL, INC.

NPI Number 1215271911

LBN Legal business name PHOENIX CHILDREN'S HOSPITAL, INC.

Authorized official RAHEEL FAROUGH - (SVP, MANAGED CARE & PAYER STRATEGY)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/19/2012

Last updated 05/18/2023 - About 3 years ago

Identifiers

AZ	License #	SH3107
AZ	Medicaid	778399

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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