Healthcare Provider Details

I. General information

NPI: 1013744218
Provider Name (Legal Business Name): RHG OF ARIZONA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10238 E HAMPTON AVE STE 506
MESA AZ
85209-3321
US

IV. Provider business mailing address

40 BURTON HILLS BLVD STE 370
NASHVILLE TN
37215-6287
US

V. Phone/Fax

Practice location:
  • Phone: 615-672-7122
  • Fax:
Mailing address:
  • Phone: 615-672-7122
  • Fax: 615-672-7849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANE HOLDEN
Title or Position: BILLING MANAGER
Credential:
Phone: 615-672-7122