Organization
SCVRH LLC
Active
Other names
Santa Cruz Valley Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KRISTOPHER ZIEGELE (CFO)
(520) 383-4710
Entity
Organization
Contact information
Practice address
4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
(520) 393-4710
Mailing address
4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
(520) 393-4710
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H9052
STATE LICENSE
AZ
Enumeration date
03/21/2019
Last updated
01/19/2022
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