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Organization
WICKENBURG COMMUNITY HOSPITAL
Active
Organization
WICKENBURG COMMUNITY HOSPITAL
Active
Other names
Banner Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LITTELL PT, DPT (MANAGER)
(928) 684-5529
Entity
Organization
Contact information
Practice address
12023 W WINDROSE DR, EL MIRAGE, AZ 85335-4323
(701) 570-4006
Mailing address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-5529
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
9016
AZ
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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