# FLORENCE HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHCARE OF FLORENCE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710204433
- **Legal business name:** HEALTHCARE OF FLORENCE, LLC
- **Authorized official:** BRENT CHERNE CPA (CFO)
- **Authorized official phone:** (208) 249-0011

## Contact information

- **Practice address:** 450 W ADAMSVILLE RD, FLORENCE, AZ 85132
- **Practice address phone:** (520) 868-3000
- **Mailing address:** PO BOX 1589, FLORENCE, AZ 85132-3000
- **Mailing address phone:** (520) 868-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | H4884 | AZ | Yes |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | H4884 | AZ | — |
| 282NR1301X | Rural Acute Care Hospital | H4884 | AZ | — |

## Other

- **Enumeration date:** 04/21/2010
- **Last updated:** 12/13/2012