MEDICARE: VHS ACQUISITION COMPANY NUMBER 1 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	H3425	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194709089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VHS ACQUISITION COMPANY NUMBER 1 LLC

Provider Business Mailing Address
First Line	:	20 BURTON HILLS BLVD STE 100
Second Line	:	ATTENTION: CAROL BAILEY
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6409
Country	:	US
Telephone Number	:	615-665-6000
Fax Number	:	615-665-6184

Provider Business Practice Location Address
First Line	:	1201 S 7TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	602-824-3324
Fax Number	:	602-824-3383

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. CAROL A BAILEY
Credential	:
Telephone Number	:	615-665-6000

Provider Enumeration Date	:	12/03/2005
Last Update Date	:	11/03/2016

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