Organization
AGH LAVEEN LLC
Active
Other names
Dignity Health Arizona Genral Hospital Emergemcy Room
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HANSON (CEO)
(480) 410-4523
Entity
Organization
Contact information
Practice address
251 N ESTRELLA PKWY, GOODYEAR, AZ 85338-9334
(623) 322-6900
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
10/17/2016
Last updated
05/13/2019
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