Organization
PHOENIX VA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIE GUAN (REGISTERED DIETITIAN)
(305) 277-5551
Entity
Organization
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
15231 N 66TH DR, GLENDALE, AZ 85306-3117
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
1082914
AZ
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up