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Organization
NORTHWEST HOSPITAL LLC
Active
Organization
NORTHWEST HOSPITAL LLC
Active
Parent organization
NORTHWEST HOSPITAL LLC
Other names
Northwest Emergency Center at Vail
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST HOSPITAL LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
10146 E OLD VAIL RD, TUCSON, AZ 85747-9406
(520) 547-7400
Mailing address
PO BOX 848444, DALLAS, TX 75284-8444
(520) 742-9000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
H0152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229044
—
AZ
Enumeration date
01/20/2017
Last updated
04/29/2021
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