Organization
PHOENIX CHILDREN'S HOSPITAL, INC.
Active
Parent organization
PHOENIX CHILDREN'S HOSPITAL
Other names
Phoenix Children's Surgery Center - East Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CHILDREN'S HOSPITAL
Authorized official
RAHEEL FAROUGH (SVP, MANAGED CARE & PAYER STRATEGY)
(602) 933-3548
Entity
Organization
Contact information
Practice address
5131 E SOUTHERN AVE, MESA, AZ 85206-2799
(602) 933-0002
(602) 933-6216
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SH3107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706707
—
AZ
05
—
876253
—
AZ
Enumeration date
10/24/2012
Last updated
05/18/2023
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