Healthcare Provider Details

I. General information

NPI: 1699038083
Provider Name (Legal Business Name): VHS OF ARROWHEAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S 7TH AVE SUITE 300
PHOENIX AZ
85007-3957
US

IV. Provider business mailing address

20 BURTON HILLS BLVD SUITE 100, ATTENTION, CAROL BAILEY
NASHVILLE TN
37215-6197
US

V. Phone/Fax

Practice location:
  • Phone: 615-665-6318
  • Fax: 615-665-6197
Mailing address:
  • Phone: 615-665-6000
  • Fax: 615-665-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAZ

VIII. Authorized Official

Name: SHALEN YOUNG
Title or Position: CFO
Credential:
Phone: 623-561-7528