Organization Name: | WICKENBURG COMMUNITY HOSPITAL |
NPI Number: | 1952704173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA LITTELL (MANAGER) |
Mailing Address: | 12023 W Windrose Dr El Mirage |
State: | AZ US |
Postal Code: | 853354323 |
Phone Number: | 7015704006 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 9016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |