# GRAND CANYON STATE INPATIENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821386400
- **Authorized official:** JOSEPH W TAYLOR (EXEC. VP, EPP, GENERAL PARTNER)
- **Authorized official phone:** (800) 444-7009

## Contact information

- **Practice address:** 2174 W OAK AVE, DOUGLAS, AZ 85607-6003
- **Practice address phone:** (800) 444-7009
- **Practice address fax:** (800) 305-3233
- **Mailing address:** 815 S PALAFOX ST, SUITE 300, PENSACOLA, FL 32502-5960
- **Mailing address phone:** (800) 444-7009
- **Mailing address fax:** (800) 305-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2011
- **Last updated:** 07/15/2011