PROMISE HOSPITAL OF PHOENIX INC; NPI #1073572590

Contact Information

PROMISE HOSPITAL OF PHOENIX INC

433 E 6TH ST
MESA, AZ 85203-7104

Phone: 480-427-3006
Fax: 480-427-3036
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Hospital	282E00000X	A0[7]	Hospital-Long-Term (PPS excluded)

Indicates primary specialty

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NPI Profile & details for PROMISE HOSPITAL OF PHOENIX INC

NPI # 1073572590

LBN Legal business name PROMISE HOSPITAL OF PHOENIX INC

Authorized official JAMES HOPWOOD - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/22/2006

Last updated 04/10/2018 - About 8 years ago

Identifiers

AZ	License #	SH 3406
AZ	Medicaid	836174
AZ	Other	AZ0420090	BLUE CROSS PROVIDER #

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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PROMISE HOSPITAL OF PHOENIX INC

Contact Information

Specialty

Long Term Care Hospital

NPI Profile & details for PROMISE HOSPITAL OF PHOENIX INC

Reviews for PROMISE HOSPITAL OF PHOENIX INC