Organization
PHC-FORT MOHAVE INC
Active
Other names
Valley View Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-2273
(928) 788-2273
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H3864
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104567
—
AZ
05
—
XHSP38333
—
CA
05
—
XHSP43833
—
CA
Enumeration date
10/12/2006
Last updated
07/31/2023
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