Organization
EL DORADO HOSPITAL
Active
Other names
El Dorado Hospital Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
NATE TANPIENGCO (CORPORATE SR VP - CFO)
(520) 324-1160
Entity
Organization
Contact information
Practice address
1400 N WILMOT RD, TUCSON, AZ 85712-4409
(520) 721-5116
Mailing address
1400 N WILMOT RD, TUCSON, AZ 85712-4409
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
H-3500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840365
—
AZ
Enumeration date
10/17/2005
Last updated
08/22/2020
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