# SCVRH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Cruz Valley Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396205886
- **Authorized official:** PAUL KRISTOPHER ZIEGELE (CFO)
- **Authorized official phone:** (520) 383-4710

## Contact information

- **Practice address:** 4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
- **Practice address phone:** (520) 393-4710
- **Mailing address:** 4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
- **Mailing address phone:** (520) 393-4710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 01/19/2022
