NPIMap

Organization Active NPI

Dignity Health

Doing business as Huger Mercy Living Center

  • Alzheimer Center (Dementia Center)
  • Phoenix, AZ
National Provider Identifier
1811010994
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
ALC4849 Issued in AZ
Legal business name
DIGNITY HEALTH
Doing business as
Huger Mercy Living Center
Practice address
2345 W Orangewood Ave
Phoenix, AZ 85021-7659
Phone
(602) 406-5600
Fax
(602) 406-5620
NPI assigned
Apr 6, 2007
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Matthew Cox
Title
Chief Financial Officer
Phone
(602) 406-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X ALC4849 AZ Primary

Addresses

Primary practice location

2345 W Orangewood Ave
Phoenix, AZ 85021-7659

Mailing address

2345 W Orangewood Ave
Phoenix, AZ 85021-7659
Phone (602) 406-5600

Other identifiers 1

IdentifierTypeStateIssuer
637192MedicaidAZ

Other names 1

  • Huger Mercy Living Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2205379Huger Mercy Living Center2345 W Orangewood Ave, Phoenix, AZ 85021Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1811010994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217659",
            "telephone_number": "602-406-5600",
            "fax_number": "602-406-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217659",
            "telephone_number": "602-406-5600",
            "fax_number": "602-406-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-406-6571"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALC4849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huger Mercy Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.