Sage Memorial Hospital in Ganado - Managed Care Organization Pharmacy
Sage Memorial Hospital - NPI 1447315494
Sage Memorial Hospital is a Managed Care Organization Pharmacy in Ganado, Arizona. Sage Memorial Hospital practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Sage Memorial Hospital is 1447315494. The last update date is 2009-06-09.
Sage Memorial Hospital's current location address is Hwy 264 And 191, Ganado, Arizona. You can contact this provider via phone number 9287554500 and fax number 9287554659. The mailing address for Sage Memorial Hospital is Hwy 264 And 191, Ganado, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sage Memorial Hospital |
|---|---|
| Address | Hwy 264 And 191, Ganado, Arizona |
| Phone Number | 9287554500 |
| Fax Number | 9287554659 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR OF PHC |
|---|---|
| Authorized Official Name | Kiyarash Farid |
| Telephone Number | 9287554500 |
NPI Number Detail
| NPI Number | 1447315494 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2009-06-09 |
Provider Mailing Address Detail
| Address | Hwy 264 And 191 |
|---|---|
| City | Ganado |
| State | Arizona (AZ) |
| Post Code | 86505 |
| Phone Number | 9287554500 |
| Fax Number | 9287554659 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
|
Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308949 | NCPDP PROVIDER IDENTIFICATION | ||
| 21353 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sage Memorial Hospital by the Centers for Medicare & Medicaid Services?
The Sage Memorial Hospital has been issued the NPI (National Provider Identifier) 1447315494, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sage Memorial Hospital's physical address?
The Sage Memorial Hospital is physically located at Hwy 264 And 191, in the city of Ganado, AZ, with the postal code 86505.
What is Sage Memorial Hospital's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sage Memorial Hospital's specialized field of practice is Managed Care Organization Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336M0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447315494 to Sage Memorial Hospital?
The Centers for Medicare & Medicaid Services assigned the 1447315494 to Sage Memorial Hospital on 2006-12-27.
As of what date were the details pertaining to Sage Memorial Hospital last refreshed?
The information related to the Sage Memorial Hospital, including its address, specialty, and other relevant details, was last updated on 2009-06-09.
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