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NPI Code Detail

MEDICARE: PHOENIX CHILDREN'S HOSPITAL

MEDICARE: PHOENIX CHILDREN'S HOSPITAL
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
1282NC2000XChildren's HospitalSH3107AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760480503
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX CHILDREN'S HOSPITAL
Provider Business Mailing Address
First Line : 2108 E THOMAS RD STE 130
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-0008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7710
Country : US
Telephone Number : 602-933-1000
Fax Number :
Authorized Official
Title or Position : SVP, MANAGED CARE & PAYOR STRATEGY
Name : RAHEEL FAROUGH
Credential :
Telephone Number : 602-933-3548
Provider Enumeration Date : 07/13/2005
Last Update Date : 05/22/2023

Similar Medicare Providers

1699000802 — PHOENIX CHILDRENS HOSPITAL MARICOPA MEDICAL CENTER PEDIATRIC RESIDENCY
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-546-2923
Practice Fax:
1194411462 — SARA ELIZABETH PARKER
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-933-0945
Practice Fax:
1861837296 — DR. YASH JAGDISH BHATT M.D.
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-933-0777
Practice Fax: 602-933-0755
1619729001 — ALYSSA RAYNAK MD
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-933-0945
Practice Fax:
1457047292 — SHIVANGI GANESHAN MBBS
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-933-1000
Practice Fax:
1205417045 — DR. JEREMY DON BROWN DO
Practice Location Address:
1919 E THOMAS RD
PHOENIX, AZ
85016-7710
Practice Phone: 602-933-1000
Practice Fax:

Directions to “PHOENIX CHILDREN'S HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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