National Provider Identifier Database

PHOENIX CHILDRENS HOSPITAL INC
Children


Contact Information

PHOENIX CHILDREN'S HOSPITAL, INC.
5131 E SOUTHERN AVE
MESA, AZ85206-2799
Phone: 602-933-0002
Fax: 602-933-6216
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

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

NPI Number 1275886434
Legal business name
LBN
PHOENIX CHILDREN'S HOSPITAL, INC.
Authorized official RAHEEL FAROUGH - (SVP, MANAGED CARE & PAYER STRATEGY)
Entity Organization
Organization subpart Yes
Enumeration date 10/24/2012
Last updated 05/18/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: SH3107
  • AZ Medicaid: 706707
  • AZ Medicaid: 876253

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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