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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
433 E 6TH ST MESA, AZ 85203 US
Tel: 480-427-3006 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | AZ | SH 3406 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS PROVIDER # | AZ0420090 | AZ | 01 |
836174 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin