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Organization

LOS NINOS HOSPITAL, INC

Active
Other names
Los Ninos Trasport
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DALE N SKURDAHL (CHIEF OPERATING OFFICER)
(602) 243-4231
Entity
Organization

Contact information

Practice address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
(602) 323-5988
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
(602) 323-5988

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
SH0188
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SH0188
LICENSE
AZ
Enumeration date
02/09/2010
Last updated
02/09/2010
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