HOLY CROSS HOSPITAL, INC (NPI# 1548348204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548348204 |
| Entity Type | Organization |
| Organization Name | HOLY CROSS HOSPITAL, INC |
| Other Organization Name | HOLY CROSS HOSPITAL, INC |
| Practice Address |
1171 W Target Range Rd Nogales AZ 85621-2465 |
| Mailing Address |
Po Box 29657 Phoenix AZ 85038-9657 |
| Practice Telephone | 5202853000 |
| Mailing Telephone | 5208727700 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MR. TOM R PEPPING (CFO) |
| Authorized Official Telephone | 5208727790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | H0090 | AZ | Hospital Units |
| Other Name | Type Code |
|---|---|
| Holy Cross Hospital, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710319413 | Holy Cross Hospital, Inc | Emergency Medicine | 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 | 2013-08-05 |
| 1639240336 | Holy Cross Hospital, Inc | General Acute Care Hospital | 1171 W. Target Range Rd, Nogales, AZ 85621-2465 | 2006-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOLY CROSS HOSPITAL, INC. | 4725 North Federal Hwy, Fort Lauderdale, FL 33308-4603 |
| Street Address |
1171 W TARGET RANGE RD |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626754 | William Lester Bartholomew | Family Medicine | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2005-08-19 |
| 1760907539 | Nathan Alan Harvey | Nurse Anesthetist, Certified Registered | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2017-08-13 |
| 1710415476 | Aaron Matthew Wesley | Emergency Medicine | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2017-05-25 |
| 1700328663 | Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2016-11-09 |
| 1568826923 | Landon Matthew Pratt | Emergency Medicine | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2016-04-11 |
| 1255707873 | Hch Tucson Holdings LLC | Medicare Defined Swing Bed Unit | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-18 |
| 1639555865 | Hch Tucson Holdings LLC | General Acute Care Hospital | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-11 |
| 1609027432 | Med-trans Corporation | Ambulance | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2008-10-10 |
| 1881756005 | Kathryn Schrag | Emergency Medicine | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2006-12-14 |
| 1053499715 | Holy Cross Hospital Inc | Long Term Care Hospital | 1171 W Target Range Rd, Nogales, AZ 85621-2465 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255707873 | Hch Tucson Holdings LLC | Medicare Defined Swing Bed Unit | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-18 |
| 1396819348 | Holy Cross Hospital Inc | Medicare Defined Swing Bed Unit | 1171 W Target Range Road, Nogales, AZ 85621-2465 | 2006-11-20 |
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|---|---|---|---|---|
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1598038093 | La Paz Regional Hospital Inc | Medicare Defined Swing Bed Unit | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2012-02-14 |
| 1922252949 | Cobre Valley Community Hospital | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1730333758 | Cobre Valley Regional Medical Center | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1427213479 | Tuba City Regional Health Care Corporation | Medicare Defined Swing Bed Unit | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-18 |
| 1366623225 | Gabrieel M. Gaoriye Md PC | Medicare Defined Swing Bed Unit | 2001 W. Orange Grove Rd., #612, Tucson, AZ 85704-0000 | 2007-11-20 |
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
| 1285845800 | Mt Graham Regional Medical Center Inc | Medicare Defined Swing Bed Unit | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2007-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.