Organization · NPI-2

Comprehensive Hospitalist Services Of Arizona, LLC

Hospitalist · Bullhead City, AZ

NPI number1265823215
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1265823215
Entity type
Organization (NPI-2)
Legal business name
Comprehensive Hospitalist Services Of Arizona, LLC
Organization subpart
No
Enumeration date
Feb 12, 2015
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist––Yes
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924

Phone 928-763-2273

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Phone 800-893-9698

Authorized official

Lisha Falk
Vp Contracting
3376091221

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