NPIMap

Organization Active NPI

Benson Hospital Corp

  • Critical Access Hospital Clinic/Center
  • Benson, AZ
National Provider Identifier
1356923585
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
BENSON HOSPITAL CORP
Practice address
450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone
(520) 586-2261
Fax
(520) 586-7283
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BENSON HOSPITAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Bret Hicks
Title
Cfo
Phone
(520) 324-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

450 S Ocotillo Ave
Benson, AZ 85602-6403

Mailing address

450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 720-6512

Other identifiers 1

IdentifierTypeStateIssuer
020066MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Benson Hospital Corporation3 organizations share this tax ID, including this one
Part of
Benson Hospital Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1356923585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-720-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-586-2261",
            "fax_number": "520-586-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON HOSPITAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENSON HOSPITAL CORP",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-324-1614"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020066",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.