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 |