Healthcare Provider Details

I. General information

NPI: 1235322819
Provider Name (Legal Business Name): HOSPITAL DEVELOPMENT OF WEST PHOENIX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 W CAMPBELL AVE
PHOENIX AZ
85031-1703
US

IV. Provider business mailing address

20 BURTON HILLS BLVD SUITE 100
NASHVILLE TN
37215-6154
US

V. Phone/Fax

Practice location:
  • Phone: 623-848-5107
  • Fax: 623-848-5553
Mailing address:
  • Phone: 615-665-6000
  • Fax: 615-665-6197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ORONA
Title or Position: CFO
Credential:
Phone: 623-882-1717