Carl T Hayden VA Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

RN139479 Issued in AZ

Legal business name

CARL T HAYDEN VA HOSPITAL

Practice address

22851 S 204TH St
Queen Creek, AZ 85242-6275

Phone

(480) 656-9503

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Miss Shirley Gepiga Rue

Title

RN

Phone

(480) 656-9503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1770762403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22851 S 204TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426275",
            "telephone_number": "480-656-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22851 S 204TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426275",
            "telephone_number": "480-656-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL T HAYDEN VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "RUE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "GEPIGA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "480-656-9503",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "RN139479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Queen Creek, AZ
• Providers in Queen Creek, 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 Oct 30, 2007; 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.