Organization
BENSON HOSPITAL CORPORATION
Active
Organization
BENSON HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GORANSON (CFO)
(520) 586-2261
Entity
Organization
Contact information
Practice address
688 W 4TH ST STE B, BENSON, AZ 85602
(520) 720-6512
(520) 720-6522
Mailing address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-2261
(520) 586-2265
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
H096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020066
—
AZ
Enumeration date
05/23/2018
Last updated
06/08/2022
Update your record
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