# CASA GRANDE COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Pavilion Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053483040
- **Authorized official:** MR. JOHN MARTY DERNIER (CEO)
- **Authorized official phone:** (520) 381-6453

## Contact information

- **Practice address:** 950 N ARIZOLA RD, CASA GRANDE, AZ 85222-6000
- **Practice address phone:** (520) 381-6650
- **Mailing address:** 950 N ARIZOLA RD, CASA GRANDE, AZ 85222-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-352 | AZ | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020