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Organization
AGH LAVEEN LLC
Active
Organization
AGH LAVEEN LLC
Active
Other names
Dignity Health Arizona General Hospital Emergency Room
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HANSON (CEO)
(480) 410-4523
Entity
Organization
Contact information
Practice address
4760 E GERMANN RD, GILBERT, AZ 85297-0205
(480) 494-5000
Mailing address
3030 N CENTRAL AVE STE 1402, PHOENIX, AZ 85012-2720
(602) 406-3306
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
H6937
AZ
Other
Enumeration date
10/10/2016
Last updated
05/13/2019
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