Provider Demographics
NPI:1508029422
Name:WESTERN REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WESTERN REGIONAL MEDICAL CENTER, INC.
Other - Org Name:WESTERN REGIONAL MEDICAL CENTER, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SVP CHIEF ACCOUNTING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NEETU
Authorized Official - Middle Name:
Authorized Official - Last Name:MASUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-342-6978
Mailing Address - Street 1:2610 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099-2615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14200 W. CELEBRATE LIFE WAY
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:847-746-4358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital