Organization Name: | GILA RIVER HEALTH CARE CORPORTION |
NPI Number: | 1033437884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYLOR SCHEMBURGER (CEO) |
Mailing Address: | 483 W. Seed Farm Rd. Credentialing Sacaton |
State: | AZ US |
Postal Code: | 851470115 |
Phone Number: | 6025281340 |
Fax Number: | 6025281296 |
NPI Enumeration Date: | 05/04/2010 |
NPI Last Update Date: | 05/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | TRIBAL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |