# CASA GRANDE COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Casa Grande Reg Med Ctr Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639243041
- **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) 381-2500
- **Mailing address:** 1800 E FLORENCE BLVD, CASA GRANDE, AZ 85222-5303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | H-0070 | AZ | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020