Organization
HEARTHSTONE HOSPITAL MESA
Active
Other names
TRILLIUM SPECIALTY HOSPITAL EAST VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN MAHER (DIRECTOR OF FINANCIAL SERVICES)
(480) 329-2877
Entity
Organization
Contact information
Practice address
215 S POWER RD, MESA, AZ 85206-5235
(480) 985-6992
(480) 981-8390
Mailing address
215 S POWER RD, MESA, AZ 85206-5235
(480) 985-6992
(480) 981-8390
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
SH 4388
AZ
314000000X
Skilled Nursing Facility
NCI 386
AZ
314000000X
Skilled Nursing Facility
Primary
SH 4388
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-2007
MEDICARE
AZ
05
—
645898
—
AZ
Enumeration date
10/13/2005
Last updated
01/22/2009
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