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Contact Information

LOS NINOS HOSPITAL INC
2303 E THOMAS RD
PHOENIX, AZ85016-7827
 Phone: 602-954-7311
 Fax: 602-954-7355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LOS NINOS HOSPITAL INC

NPI Number 1710091780
LBN Legal business name LOS NINOS HOSPITAL INC
Authorized official WILLIAM TIMMONS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 04/29/2014 - About 12 years ago
Identifiers
AZ License # Y004230
AZ Medicaid 155128
AZ Medicaid 544032
AZ Medicaid 818552
Other 1992397 PK
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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