Provider Demographics
NPI:1841851847
Name:PHOENIX ER AND MEDICAL HOSPITAL, LLC
Entity type:Organization
Organization Name:PHOENIX ER AND MEDICAL HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-284-5867
Mailing Address - Street 1:3050 S DOBSON RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-4906
Mailing Address - Country:US
Mailing Address - Phone:480-284-5867
Mailing Address - Fax:
Practice Address - Street 1:3050 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-4906
Practice Address - Country:US
Practice Address - Phone:480-284-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOENIX ER AND MEDICAL HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-21
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy