Abrazo Maryvale Campus

LBN: Hospital Development Of West Phoenix, Inc.
Abrazo Maryvale Campus is an health care organization with primary practice located at 5102 W Campbell Ave , Phoenix AZ 85031-1703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Hospital Development Of West Phoenix, Inc. can be contacted via phone (623) 848-5107, or through Orona, Jennifer via phone (623) 882-1717.

Contact Information

Primary practice address
5102 W Campbell Ave Phoenix AZ 85031-1703
Phone: (623) 848-5107
Fax: (623) 848-5553
Website:
Map and Directions
Authorized official contact:
Name: Orona, Jennifer
Phone: (623) 882-1717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1235322819
LBN Legal business name Hospital Development Of West Phoenix, Inc.
DBA Doing business as Abrazo Maryvale Campus
Authorized official Orona, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Mar 22nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235322819 NPPES
Arizona MEDICAID 300676

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