PAGE HOSPITAL (NPI# 1942347208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942347208 |
| Entity Type | Organization |
| Organization Name | PAGE HOSPITAL |
| Practice Address |
501 N Navajo Page AZ 86040 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9286452424 |
| Practice Fax Number | 9286453549 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | DENNIS LARAWAY (SR VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | 03Z304 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578515789 | Page Hospital | General Acute Care Hospital | 501 North Navajo, Page, AZ 86040 | 2006-05-16 |
| 1285147678 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-11-08 |
| 1902317829 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PAGE HOSPITAL | 501 N Navajo, Page, AZ 86040 |
| Street Address |
501 N NAVAJO |
| City | PAGE |
| State | AZ |
| Zip Code | 86040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294242 | Banner Hospital Based Physicians Arizona LLC | Clinic/Center | 501 N Navajo, Page, AZ 86040 | 2012-08-09 |
| 1003112327 | Northern Arizona Dermatology Center, PC | Dermatology | 501 N Navajo, Page, AZ 86040 | 2011-02-03 |
| 1306988209 | Page Hospital Pharmacy | Pharmacy | 501 N Navajo, Page, AZ 86040-1447 | 2007-02-14 |
| 1730129073 | John R Harlan | Internal Medicine | 501 N Navajo, Page Clinic, Page, AZ 86040 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| 1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
| 1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
| 1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
| 1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
| 1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
| 1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
| 1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
| Find all providers in zip 86040 | ||||
| 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 |
|---|---|---|---|---|
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1255707873 | Hch Tucson Holdings LLC | Medicare Defined Swing Bed Unit | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.