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PROMISE HOSPITAL OF PHOENIX INC

Long Term Care Hospital

Mesa, Arizona

Provider NPI: 1073572590

Organization Information:
Organization Name:  PROMISE HOSPITAL OF PHOENIX INC


Practice Location:
433 E 6TH ST  MESA, AZ 85203 US
Tel: 480-427-3006  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
AZSH 3406

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS PROVIDER #AZ0420090AZ01
836174AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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