NPIMap

Organization Active NPI

VHS Acquisition Corporation

  • General Acute Care Hospital
  • Phoenix, AZ
National Provider Identifier
1992789200
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0101 Issued in AZ
Legal business name
VHS ACQUISITION CORPORATION
Practice address
5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone
(623) 848-5107
Fax
(623) 848-5553
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Monica Bukowski
Title
Cfo
Phone
(623) 882-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0101 AZ Primary

Addresses

Primary practice location

5102 W Campbell Ave
Phoenix, AZ 85031-1703

Mailing address

20 Burton Hills Blvd Ste 100
Attention: Carol Bailey
Nashville, TN 37215-6409
Phone (615) 665-6000

Other identifiers 1

IdentifierTypeStateIssuer
434697MedicaidAZ

Other names 1

  • Abrazo Maryvale Campus Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MHH@Direct.Hub6.TenetHealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 030001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ABRAZO MARYVALE CAMPUS
Certification status
Terminated Voluntary: merger or closure, May 1, 2017
Provider type (POS)
Hospital – Short-term
Participating since
Sep 24, 1968
Last certification
May 18, 2017
Beds
232
Ownership / control type
Private (for profit)
Facility address
5102 West Campbell Avenue
Phoenix, AZ 85031

National Provider Directory

National Provider Directory
Tax ID family
Hospital Dev of W Phoenix5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: mhh@direct.hub6.tenethealth.com

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1992789200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD STE 100",
            "address_2": "ATTENTION: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156409",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 W CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311703",
            "telephone_number": "623-848-5107",
            "fax_number": "623-848-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BUKOWSKI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "623-882-1717"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434697",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MHH@Direct.Hub6.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5102 W Campbell Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850311703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abrazo Maryvale Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abrazo Maryvale Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.