Organization Active NPI

Ronald McDonald House Charities of Phoenix

  • Voluntary or Charitable Agency
  • Phoenix, AZ
National Provider Identifier
1851623169
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
RONALD MCDONALD HOUSE CHARITIES OF PHOENIX
Practice address
501 E Roanoke Ave
Phoenix, AZ 85004-1013
Phone
(602) 264-2654
Fax
(602) 264-5670
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Dr. Christopher Perez, PH.D.
Title
Director of Operations
Phone
(602) 264-2654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

501 E Roanoke Ave
Phoenix, AZ 85004-1013

Mailing address

501 E Roanoke Ave
Phoenix, AZ 85004-1013
Phone (602) 264-2654

Other identifiers 1

IdentifierTypeStateIssuer
901563MedicaidAZ

National Provider Directory

National Provider Directory

Locations

501 E Roanoke Ave
Phoenix, AZ 85004
Phone (602) 264-2654

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1851623169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E ROANOKE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041013",
            "telephone_number": "602-264-2654",
            "fax_number": "602-264-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E ROANOKE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041013",
            "telephone_number": "602-264-2654",
            "fax_number": "602-264-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MCDONALD HOUSE CHARITIES OF PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-264-2654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901563",
            "state": "AZ"
        }
    ],
    "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 Feb 11, 2010; 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.