Healthcare Provider Details
I. General information
NPI: 1760457238
Provider Name (Legal Business Name): VHS ACQUISITION SUBSIDIARY NUMBER 2 INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2006
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7100 E MESCAL ST WING 3
SCOTTSDALE AZ
85254-6126
US
IV. Provider business mailing address
20 BURTON HILLS BLVD SUITE 100, ATTENTION, CAROL BAILEY
NASHVILLE TN
37215-6197
US
V. Phone/Fax
- Phone: 480-443-5107
- Fax:
- Phone: 615-665-6000
- Fax: 615-665-6184
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | SH3074 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | BH/SH - 1997 |
| License Number State | AZ |
VIII. Authorized Official
Name: MS.
CAROL
A
BAILEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 615-665-6000