Provider Demographics
NPI:1013327881
Name:ARIZONA GENERAL HOSPITAL LLC
Entity type:Organization
Organization Name:ARIZONA GENERAL HOSPITAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-899-6650
Mailing Address - Street 1:PO BOX 841365
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1365
Mailing Address - Country:US
Mailing Address - Phone:972-899-6650
Mailing Address - Fax:972-899-5954
Practice Address - Street 1:7171 S 51ST AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2923
Practice Address - Country:US
Practice Address - Phone:972-899-6650
Practice Address - Fax:972-899-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care