| NPI | 1457402364 |
|---|---|
| Doing Business As | PHOENIX CHILDREN'S HOSPITAL - DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH SVP, Managed Care & Payor Strategy 602-933-3548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AZ MED2169) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AZ OTC 3741) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-05-22 |