Holy Cross Hospital Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

NCI311 Issued in AZ

Legal business name

HOLY CROSS HOSPITAL INC

Doing business as

Holy Cross Hospital Inc

Practice address

1171 W Target Range Rd
Nogales, AZ 85621-2465

Phone

(520) 285-3000

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Polheber III, CEO

Title

Chief Executive Officer

Phone

(520) 285-3000

Specialties & licenses 1

Addresses

Other names 1

• Holy Cross Hospital Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D Cooper, M.D.

  • Surgery Physician
  • La Jolla, CA
  • NPI 1528353190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053499715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-872-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212465",
            "telephone_number": "520-285-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLHEBER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-285-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AZ",
            "license": "NCI311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Hospital Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Hidalgo
• Hill's Arizona Optical, P.C.
• Michael Colvin Hinkson, MD
• Tyler Matthew Hoelscher, MD
• Roxanna R. Holguin, ST
• Holy Cross Hospital Inc
• Holy Cross Hospital Inc
• Holy Cross Hospital Inc
• Holy Cross Hospital, Inc
• Holy Cross Hospital, Inc

• Long Term Care Hospital in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Long Term Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.