Provider Demographics
NPI:1346911534
Name:RHAD HEALTH CARE
Entity Type:Organization
Organization Name:RHAD HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-821-3144
Mailing Address - Street 1:9559 W PINNACLE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-8715
Mailing Address - Country:US
Mailing Address - Phone:602-679-5050
Mailing Address - Fax:623-505-9755
Practice Address - Street 1:9559 W PINNACLE VISTA DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-8715
Practice Address - Country:US
Practice Address - Phone:602-679-5050
Practice Address - Fax:623-505-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty