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Organization

DIGNITY HEALTH

Active
Parent organization
DIGNITY HEALTH
Other names
St. Joseph's Hospital and Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIGNITY HEALTH
Authorized official
JEFFREY JACKSON (CHIEF FINANCIAL OFFICER)
(602) 406-4618
Entity
Organization

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
3033 N 3RD AVE, PHOENIX, AZ 85013-4447
(602) 307-2420

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
691974
AZ
01
721561134850130001
WPS/TRICARE
01
AZ0208840
BCBSAZ
Enumeration date
05/12/2008
Last updated
09/24/2013
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