Organization
BENSON HOSPITAL CORP
Active
Parent organization
BENSON HOSPITAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENSON HOSPITAL CORP
Authorized official
BRET HICKS (CFO)
(520) 324-1614
Entity
Organization
Contact information
Practice address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-2261
(520) 586-7283
Mailing address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 720-6512
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020066
—
AZ
Enumeration date
04/27/2021
Last updated
04/27/2021
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