Healthcare Provider Details

I. General information

NPI: 1477530889
Provider Name (Legal Business Name): VHS ACQUISITION COMPANY NUMBER 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 11/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S 7TH AVE SUITE 200
PHOENIX AZ
85007-3957
US

IV. Provider business mailing address

20 BURTON HILLS BLVD STE 100 ATTENTION: CAROL BAILEY
NASHVILLE TN
37215-6409
US

V. Phone/Fax

Practice location:
  • Phone: 602-824-4550
  • Fax:
Mailing address:
  • Phone: 615-665-6000
  • Fax: 615-665-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROL A BAILEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 615-665-6000