Organization
ST LUKES BEHAVIORAL HOSPITAL LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L. JAHN (HOSPITAL CEO)
(602) 251-8546
Entity
Organization
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 251-8642
(602) 251-8215
Mailing address
1800 E VAN BUREN ST, ATTN: BILLING, PHOENIX, AZ 85006-3742
(602) 251-8535
(602) 251-8707
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670
—
AZ
Enumeration date
07/10/2006
Last updated
04/04/2018
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