1942336243 NPI number — THE VHS ARIZONA IMAGING CENTERS, LP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942336243 NPI number — THE VHS ARIZONA IMAGING CENTERS, LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE VHS ARIZONA IMAGING CENTERS, LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942336243
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 975258
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75397-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-674-6524
Provider Business Mailing Address Fax Number:
602-674-6773

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8620 N 22ND AVE
Provider Second Line Business Practice Location Address:
STE. 103
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85021-4251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-674-6524
Provider Business Practice Location Address Fax Number:
602-674-6773
Provider Enumeration Date:
02/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KING
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
602-674-6524

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1942287693 . This is a "NPI" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1730166539 . This is a "NPI" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1740267590 . This is a "NPI" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1912984634 . This is a "NPI" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: AZ0889470 . This is a "BLUE CROSS BLUE SHIELD ID" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 574948 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1Z7035 . This is a "HEALTHNET ID" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1821075631 . This is a "NPI" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: F06217 . This is a "PHOENIX HEALTH PLAN" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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