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Organization

FLORENCE HOSPITAL, LLC

Active
Parent organization
HEALTHCARE OF FLORENCE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTHCARE OF FLORENCE, LLC
Authorized official
BRENT CHERNE CPA (CFO)
(208) 249-0011
Entity
Organization

Contact information

Practice address
450 W ADAMSVILLE RD, FLORENCE, AZ 85132
(520) 868-3000
Mailing address
PO BOX 1589, FLORENCE, AZ 85132-3000
(520) 868-3000

Taxonomy

Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
H4884
AZ
275N00000X
Medicare Defined Swing Bed Hospital Unit
H4884
AZ
282NR1301X
Rural Acute Care Hospital
H4884
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
573850
AZ
Enumeration date
04/21/2010
Last updated
12/13/2012
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