VHS Acquisition Company Number 1 LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H3425 Issued in AZ

Legal business name

VHS ACQUISITION COMPANY NUMBER 1 LLC

Doing business as

Phoenix Memorial Hospital

Practice address

1201 S 7TH Ave
Phoenix, AZ 85007-3913

Phone

(602) 824-3324

Fax

(602) 824-3383

NPI assigned

Dec 3, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Carol A Bailey

Title

Vice President

Phone

(615) 665-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Memorial Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194709089. Details of each certification follow.

• CCN 030003 Hospital · Terminated · Name & address match · Details
• CCN 030106 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 030003

Legal name

PHOENIX MEMORIAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, May 1, 2001

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Feb 24, 1995

Beds

183

Ownership / control type

Private (not for profit)

Facility address

1201 South 7TH Street
Phoenix, AZ 85007

Hospital certification: CCN 030106

Legal name

PHOENIX MEMORIAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Jun 1, 2007

Provider type (POS)

Hospital – Short-term

Participating since

May 3, 2001

Last certification

May 3, 2001

Beds

115

Ownership / control type

Private (for profit)

Facility address

1201 South 7TH Avenue
Phoenix, AZ 85007

Locations

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1194709089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD STE 100",
            "address_2": "ATTENTION: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156409",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073913",
            "telephone_number": "602-824-3324",
            "fax_number": "602-824-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS ACQUISITION COMPANY NUMBER 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-665-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817687",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.