| Phoenix Children's Hospital | |
|
3420 S Mercy Rd Ste 121 Gilbert AZ 85297-0419 | |
| (602) 933-6262 | |
| Not Available |
| Full Name | Phoenix Children's Hospital |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3420 S Mercy Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Raheel Farough (VP, MANAGED CARE) |
| Authorized Official Contact | 6029333548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Children's Hospital 2108 E Thomas Rd Ste 130 Phoenix AZ 85016-7761 Ph: (602) 933-1815 | Phoenix Children's Hospital 3420 S Mercy Rd Ste 121 Gilbert AZ 85297-0419 Ph: (602) 933-6262 |
| NPI Number | 1376944298 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376944298 | NPI | - | NPPES |
| 706707 | Medicaid | AZ | |
| 876253 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | SH3107 (Arizona) | Primary |
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