Organization
NORTHWEST HOSPITAL LLC
Active
Other names
Northwest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE HOTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
(520) 469-8101
Mailing address
PO BOX 848444, DALLAS, TX 75284-8444
(520) 749-9000
(520) 469-8101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489692
—
AZ
Enumeration date
10/24/2006
Last updated
03/27/2008
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