Organization Name: | CARONDELET HEALTH NETWORK |
NPI Number: | 1386721041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM R PEPPING (CFO) |
Mailing Address: | 1171 W Target Range Rd Nogales |
State: | AZ US |
Postal Code: | 856212465 |
Phone Number: | 5202853000 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H0090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |