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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 Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

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

NPI Number 1275886434
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 10/24/2012
Last updated 05/18/2023 - About 3 years ago
Identifiers
AZ License # SH3107
AZ Medicaid 706707
AZ Medicaid 876253
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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