Provider Demographics
NPI: | 1184450124 |
---|---|
Name: | RCH PHYSICAN SERVICES |
Entity type: | Organization |
Organization Name: | RCH PHYSICAN SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | AJA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MURPHY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DO |
Authorized Official - Phone: | 480-851-6309 |
Mailing Address - Street 1: | 4700 S MCCLINTOCK DR STE 140 |
Mailing Address - Street 2: | |
Mailing Address - City: | TEMPE |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85282-7375 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 480-851-6309 |
Mailing Address - Fax: | 573-240-9791 |
Practice Address - Street 1: | 4700 S MCCLINTOCK DR STE 140 |
Practice Address - Street 2: | |
Practice Address - City: | TEMPE |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85282-7375 |
Practice Address - Country: | US |
Practice Address - Phone: | 480-851-6309 |
Practice Address - Fax: | 573-240-9791 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-09-09 |
Last Update Date: | 2024-09-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty |