Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
CHILDREN'S REHABILITATIVE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
JEFFREY JACKSON (CHIEF FINANCIAL OFFICER)
(602) 406-4618
Entity
Organization
Contact information
Practice address
124 W THOMAS RD, PHOENIX, AZ 85013-4405
(602) 406-3609
Mailing address
124 W THOMAS RD, PHOENIX, AZ 85013-4405
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
H3003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860096787
IRS
AZ
Enumeration date
03/09/2007
Last updated
05/02/2013
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