Organization
GILA RIVER HEALTH CARE CORPORATION
Active
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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