Organization
GILA RIVER HEALTH CARE CORPORATION
Active
Other names
GILA RIVER DIALYSIS WEST
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JUDITH ROTH (CFO)
(602) 528-1200
Entity
Organization
Contact information
Practice address
9721 W. PECOS ROAD, LAVEEN, AZ 85339
(520) 550-6050
(520) 550-6051
Mailing address
PO BOX 2176, SACATON, AZ 85247-2176
(602) 271-7901
(602) 271-7970
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
06/27/2024
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