Organization Active NPI

Carl T. Hayden VA Medical Center

  • Military Hospital
  • Phoenix, AZ
National Provider Identifier
1417979899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
CARL T. HAYDEN VA MEDICAL CENTER
Practice address
650 E. Indian School Road
Phoenix, AZ 85012
Phone
(602) 277-5551
Fax
(602) 222-2603
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Ann Celaya, CPHT
Title
Inpatient Clinical Pharmacy Tech
Phone
(602) 277-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X AZ Primary

Addresses

Primary practice location

650 E. Indian School Road
Phoenix, AZ 85012

Mailing address

14925 N 153Rd Ave
Surprise, AZ 85379-7022
Phone (623) 544-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417979899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 N 153RD AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853797022",
            "telephone_number": "623-544-9070",
            "fax_number": "602-222-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E. INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-277-5551",
            "fax_number": "602-222-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL T. HAYDEN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CELAYA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INPATIENT CLINICAL PHARMACY TECH",
        "authorized_official_telephone_number": "602-277-5551",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • 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.