Organization Name: | COMMUNITY HOSPITAL ASSOCIATION, INC., DBA WICKENBURG COMMUNITY HOSPITA |
NPI Number: | 1376664193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALE A DECKER (CEO) |
Mailing Address: | 520 Rose Ln Wickenburg |
State: | AZ US |
Postal Code: | 853901447 |
Phone Number: | 9286845421 |
Fax Number: | 9286845499 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 3488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |