Organization
PROMISE HOSPITAL OF PHOENIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HOPWOOD (CFO)
(561) 869-3100
Entity
Organization
Contact information
Practice address
433 E 6TH ST, MESA, AZ 85203-7104
(480) 427-3006
(480) 427-3036
Mailing address
999 YAMATO ROAD, 3RD FLOOR, BOCA RATON, FL 33431
(561) 869-3100
(561) 826-0171
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
SH 3406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836174
—
AZ
01
—
AZ0420090
BLUE CROSS PROVIDER #
AZ
Enumeration date
03/22/2006
Last updated
04/10/2018
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