Organization Name: | GILA RIVER HEALTH CARE CORPORATION |
NPI Number: | 1376538231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORRIE HENDERSON (CEO) |
Mailing Address: | 17487 S. Health Care Dr. Laveen |
State: | AZ US |
Postal Code: | 853390038 |
Phone Number: | 5205506000 |
Fax Number: | 5205506027 |
NPI Enumeration Date: | 09/16/2005 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |