# PHOENIX CHILDREN'S HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHOENIX CHILDREN'S HOSPITAL
- **Other names:** Phoenix Children's Surgery Center - East Valley
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275886434
- **Legal business name:** PHOENIX CHILDREN'S HOSPITAL
- **Authorized official:** RAHEEL FAROUGH (SVP, MANAGED CARE & PAYER STRATEGY)
- **Authorized official phone:** (602) 933-3548

## Contact information

- **Practice address:** 5131 E SOUTHERN AVE, MESA, AZ 85206-2799
- **Practice address phone:** (602) 933-0002
- **Practice address fax:** (602) 933-6216
- **Mailing address:** 2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | SH3107 | AZ | Yes |

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 05/18/2023