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Organization

ARIZINA HEART HOSPITAL, LLC

Active
Other names
Arizona Heart Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD J FENTEM (DIRECTOR, BUSINESS OFFICE OPERATION)
(972) 702-7500
Entity
Organization

Contact information

Practice address
1930 EAST THOMAS ROAD, PHOENIX, AZ 85016-7711
(602) 532-1000
(602) 532-2000
Mailing address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1000
(480) 682-2540

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1832
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432138
AZ
05
9135481 00
FL
Enumeration date
12/05/2005
Last updated
01/23/2012
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