| Benson Hospital Corporation | |
|
13370 E Mary Ann Cleveland Way Vail AZ 85641-8610 | |
| (520) 720-6512 | |
| Not Available |
| Full Name | Benson Hospital Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 13370 E Mary Ann Cleveland Way, Vail, Arizona |
| Authorized Official Name and Position | Bret Hicks (CFO) |
| Authorized Official Contact | 5203241614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson Hospital Corporation 450 S Ocotillo Ave Benson AZ 85602-6403 Ph: (520) 720-6512 | Benson Hospital Corporation 13370 E Mary Ann Cleveland Way Vail AZ 85641-8610 Ph: (520) 720-6512 |
| NPI Number | 1457924920 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 3274443056 |
|---|---|
| Medicare Enrollment ID | O20220105001803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457924920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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