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Organization
NORTHWEST HOSPITAL LLC
Active
Organization
NORTHWEST HOSPITAL LLC
Active
Other names
Northwest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE HOTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
(520) 469-8101
Mailing address
PO BOX 848444, DALLAS, TX 75284-8444
(520) 749-9000
(520) 469-8101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489692
—
AZ
Enumeration date
10/24/2006
Last updated
03/27/2008
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