Provider Demographics
NPI:1720440548
Name:UACC ST. JOSPEH'S HOSPITAL AND MEDICAL CENTER
Entity Type:Organization
Organization Name:UACC ST. JOSPEH'S HOSPITAL AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRETOR OF REGIONAL OPERATION DHMG
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIGERWALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-406-7011
Mailing Address - Street 1:625 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2155
Mailing Address - Country:US
Mailing Address - Phone:602-406-6000
Mailing Address - Fax:602-406-8181
Practice Address - Street 1:625 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2155
Practice Address - Country:US
Practice Address - Phone:602-406-6000
Practice Address - Fax:602-406-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP8551OtherAZ STATE BOARD OF NURSING