Arizina Heart Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H 1832 Issued in AZ

Legal business name

ARIZINA HEART HOSPITAL, LLC

Doing business as

Arizona Heart Hospital

Practice address

1930 East Thomas Road
Phoenix, AZ 85016-7711

Phone

(602) 532-1000

Fax

(602) 532-2000

NPI assigned

Dec 5, 2005

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald J Fentem

Title

Director, Business Office Operation

Phone

(972) 702-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Arizona Heart Hospital Doing business as

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1598749269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167711",
            "telephone_number": "602-532-1000",
            "fax_number": "480-682-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 EAST THOMAS ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167711",
            "telephone_number": "602-532-1000",
            "fax_number": "602-532-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZINA HEART HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "FENTEM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE OPERATION",
        "authorized_official_telephone_number": "972-702-7500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H 1832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9135481 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432138",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Heart 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 Jan 23, 2012; 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.