Organization
PHOENIX CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEEL FAROUGH (SVP, MANAGED CARE & PAYOR STRATEGY)
(602) 933-3548
Entity
Organization
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SH3107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706707
—
AZ
Enumeration date
07/13/2005
Last updated
05/22/2023
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