Organization
CENTERRE REHABILITATION HOSPITAL OF ARIZONA, LLC
Active
Other names
Phoenix Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KERR (CHIEF FINANCIAL OFFICER, CENTERRE)
(314) 889-2726
Entity
Organization
Contact information
Practice address
2601 E ROOSEVELT ST, 7TH FLOOR, PHOENIX, AZ 85008-4973
(602) 389-5600
(602) 389-5627
Mailing address
7733 FORSYTH BLVD, SUITE 800, SAINT LOUIS, MO 63105-1817
(314) 889-2718
(314) 889-2727
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
SH 3645
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920604
—
AZ
01
—
AZ0209710
BCBS OF ARIZONA
AZ
01
—
F14493
ABRAZO ADVANTAGE HEALTH
AZ
Enumeration date
01/12/2007
Last updated
08/22/2020
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