Medical Facilities 03/01/2013 TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00002, LICENSE: NONE, NAME: BANNER GOOD SAMARITAN MEDICAL CENTER, LEGALLY: BANNER GOOD SAMARITAN MEDICAL CENTER, ADDRESS: 1300 NORTH 12TH STREET, SUITE 404, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-2716, FAX: (602) 239-3749, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00003, LICENSE: NONE, NAME: UNIVERSITY MEDICAL CENTER AT THE ARIZONA HEALTH SC, LEGALLY: UNIVERSITY MEDICAL CENTER AT THE ARIZONA HEALTH SC, ADDRESS: 1501 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-7367, FAX: (520) 694-7368, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0841, LICENSE: OSC4330, NAME: SOUTHWESTERN EYE SURGICENTER-CASA GRANDE, LEGALLY: SOUTHWESTERN EYE SURGICENTER - CASA GRANDE, ADDRESS: 560 NORTH CAMINO MERCADO, SUITE 1, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 426-9224, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0167, LICENSE: OSC3519, NAME: EYES OF ARIZONA VISION & SURGERY CENTER, LEGALLY: EYES OF ARIZONA VISION & SURGERY CENTER, ADDRESS: 40 CAPRI BOULEVARD, SUITE 102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-9477, FAX: (928) 855-2983, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037047, LICENSE: HHA0049, NAME: NORTHERN ARIZONA HOMECARE FLAGSTAFF, LEGALLY: NORTHERN ARIZONA HOMECARE FLAGSTAFF, ADDRESS: 107 EAST OAK AVENUE, SUITE 102A, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2238, FAX: (928) 773-2078, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2109, LICENSE: NONE, NAME: BARNET DULANEY SURGERY CENTER- SHOW LOW, LEGALLY: BARNET DULANEY SURGERY CENTER- SHOW LOW, ADDRESS: 1500 SOUTH WHITE MOUNTAIN ROAD, SUITE 300, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (602) 508-4843, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0408, LICENSE: OSC0067, NAME: PRESCOTT UROCENTER LTD, LEGALLY: PRESCOTT UROCENTER, LTD, ADDRESS: 811 AINSWORTH DRIVE, SUITE 101, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-5282, FAX: (928) 771-5283, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0358, LICENSE: OTC3702, NAME: SUN CITY ENDOSCOPY CENTER, LEGALLY: SUN CITY ENDOSCOPY CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, C3, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 972-5083, FAX: (623) 972-0505, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0160, LICENSE: OSC4189, NAME: BARNET DULANEY SURGERY CENTER-SUN CITY, LEGALLY: BARNET DULANEY SURGERY CENTER-SUN CITY, ADDRESS: 9425 WEST BELL ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 955-1000, FAX: (602) 508-4830, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037133, LICENSE: HHA0175, NAME: EL SOL HOME HEALTH INC, LEGALLY: EL SOL HOME HEALTH, INC, ADDRESS: 694 SOUTH ELLIOT AVENUE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 421-0447, FAX: (520) 421-0775, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0314, LICENSE: HSPC0007, NAME: NORTHLAND HOSPICE & PALLIATIVE, LEGALLY: NORTHLAND HOSPICE & PALLIATIVE CARE, ADDRESS: 452 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-1227, FAX: (928) 779-5884, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0477, LICENSE: HHA0170, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, ADDRESS: 50 EAST 100TH SOUTH, SUITE 200, CITY: ST GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 628-5277, FAX: (435) 673-0432, CAPACITY: 0, COUNTY: WASHINGTON TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037024, LICENSE: HHA0163, NAME: SCOTTSDALE HEALTHCARE HOME HEALTH, LEGALLY: SCOTTSDALE HEALTHCARE HOME HEALTH, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, SUITE 143, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 882-4222, FAX: (480) 882-4531, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0551, LICENSE: HSPC0037, NAME: BANNER HOSPICE, LEGALLY: BANNER HOSPICE, ADDRESS: 275 EAST GERMANN ROAD, SUITE 110N, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 657-1100, FAX: (480) 657-1790, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037037, LICENSE: HHA0039, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, INC, ADDRESS: 16620 NORTH 40TH STREET, SUITE D4, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (623) 979-7471, FAX: (623) 979-3352, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0159, LICENSE: OSC0026, NAME: EYE INSTITUTE AT BOSWELL, THE, LEGALLY: EYE INSTITUTE AT BOSWELL, THE, ADDRESS: 10541 WEST THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 933-3402, FAX: (623) 972-5014, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0557, LICENSE: OSC0074, NAME: AIMS OUTPATIENT SURGERY, LEGALLY: AIMS OUTPATIENT SURGERY, ADDRESS: 3636 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 757-3690, FAX: (928) 757-3635, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0171, LICENSE: OSC3901, NAME: SCOTTSDALE EYE INSTITUTE, PLLC, LEGALLY: SCOTTSDALE EYE INSTITUTE, PLLC, ADDRESS: 215 SOUTH POWER ROAD, SUITE 112, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-1345, FAX: (480) 981-3721, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037162, LICENSE: HHA0191, NAME: NURSING SOLUTIONS, LEGALLY: NURSING SOLUTIONS, ADDRESS: 15255 NORTH 40TH STREET, BUILDING 6, SUITE 141, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 331-1100, FAX: (602) 331-1204, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0175, LICENSE: OSC0032, NAME: OUTPATIENT SURGICAL CARE LTD, LEGALLY: OUTPATIENT SURGICAL CARE, LTD., ADDRESS: 1530 WEST GLENDALE AVENUE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-3395, FAX: (602) 995-1853, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1188, LICENSE: OSC0079, NAME: RUMMEL EYE CARE/EYE SURGERY, LEGALLY: RUMMEL EYE CARE/EYE SURGERY SERVICES, ADDRESS: 1022 WILLOW CREEK ROAD, SUITE 103 AND 104, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-1341, FAX: (928) 777-0175, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0163, LICENSE: OSC4916, NAME: BARNET DULANEY SURGERY CENTER- MESA, LEGALLY: BARNET DULANEY SURGERY CENTER- MESA, ADDRESS: 5250 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-1000, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037068, LICENSE: HHA3635, NAME: BAYADA HOME HEALTH CARE INC, LEGALLY: BAYADA NURSES, INC., ADDRESS: 706 EAST BELL ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 870-6364, FAX: (602) 997-8893, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037178, LICENSE: HHA3429, NAME: HORIZON HOME HEALTH, LEGALLY: HORIZON HOME HEALTH, ADDRESS: 32 NORTH 10TH AVENUE, SUITE 6, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-9110, FAX: (480) 894-5134, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0357, LICENSE: OSC0061, NAME: WHITE MOUNTAIN AMBULATORY SURGERY CENTER, LEGALLY: WHITE MOUNTAIN AMBULATORY SURGERY CENTER, ADDRESS: 2650 EAST SHOW LOW LAKE ROAD, SUITE 2, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4240, FAX: (928) 537-4541, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0533, LICENSE: OSC4400, NAME: ARIZONA OUTPATIENT SURGERY CENTER, LEGALLY: ARIZONA OUTPATIENT SURGERY CENTER, ADDRESS: 6245 NORTH 16TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 274-1705, FAX: (602) 230-0404, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1303, LICENSE: OSC3775, NAME: BANNER THUNDERBIRD SURGICENTER, LEGALLY: BANNER THUNDERBIRD SURGICENTER, ADDRESS: 5555 B WEST THUNDERBIRD ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-5475, FAX: (602) 865-5472, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1353, LICENSE: HSPC0060, NAME: HOSPICE FAMILY CARE-PRESCOTT, LEGALLY: HOSPICE FAMILY CARE - PRESCOTT, ADDRESS: 100 EAST SHELDON STREET, SUITE #100, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 541-1740, FAX: (928) 541-1745, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037057, LICENSE: HHA0063, NAME: HAVASU REGIONAL MED CENTER HOME HEALTH, LEGALLY: HAVASU REGIONAL MEDICAL CENTER HOME HEALTH, ADDRESS: 1851 MESQUITE BOULEVARD, SUITE 206, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-1209, FAX: (928) 680-7914, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0355, LICENSE: OSC0063, NAME: SWAGEL WOOTTON EYE CENTER, LEGALLY: SWAGEL WOOTTON EYE CENTER, ADDRESS: 220 SOUTH 63RD STREET, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 641-3937, FAX: (480) 641-7433, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037202, LICENSE: HHA0271, NAME: HOME HEALTH RESOURCES, LEGALLY: HOME HEALTH RESOURCES, INC, ADDRESS: 7500 NORTH DREAMY DRAW DRIVE, SUITE 105A, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 216-6005, FAX: (602) 216-6112, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037205, LICENSE: HHA0275, NAME: NURSECORE OF PHOENIX, LEGALLY: NURSECORE OF PHOENIX, ADDRESS: 7000 NORTH 16TH STREET, SUITE 156, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 274-3400, FAX: (602) 234-0577, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1516, LICENSE: OTC0924, NAME: CHIRICAHUA COMM HEALTH CTR CLIFF WHETTEN CLINIC, LEGALLY: CHIRICAHUA COMM HEALTH CTR CLIFF WHETTEN CLINIC, ADDRESS: 10566 HIGHWAY 191, CITY: ELFRIDA, STATE: AZ, ZIP: 85610, PHONE: (520) 642-2222, FAX: (520) 642-3591, CAPACITY: 0, COUNTY: COCHISE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1300, LICENSE: OSC0082, NAME: ARIZONA OPHTHALMIC OUTPATIENT SURGERY, LEGALLY: ARIZONA OPHTHALMIC OUTPATIENT SURGERY, ADDRESS: 300 EAST OSBORN, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 234-8478, FAX: (602) 234-8492, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0189, LICENSE: OSC0039, NAME: SOUTHWESTERN EYE SURGICENTER-STAPLEY, LEGALLY: SOUTHWESTERN EYE SURGICENTER - STAPLEY, ADDRESS: 1055 SOUTH STAPLEY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 833-9100, FAX: (480) 833-6000, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1767, LICENSE: OTC0004, NAME: SUN LIFE FAMILY HEALTH CENTER INC- CASA GRANDE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC., ADDRESS: 865 NORTH ARIZOLA ROAD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-3446, FAX: (520) 836-8807, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037011, LICENSE: HHA4087, NAME: AMEDISYS HOME HEALTH, LEGALLY: AMEDISYS HOME HEALTH, ADDRESS: 14239 WEST BELL ROAD, SUITE 219, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 974-7810, FAX: (623) 974-7894, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2885, LICENSE: OSC0059, NAME: T A S I SURGERY CENTER, LEGALLY: T A S I SURGERY CENTER, ADDRESS: 5585 NORTH ORACLE ROAD, SUITE B, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 293-7077, FAX: (520) 293-7561, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037030, LICENSE: HHA5119, NAME: BAYADA HOME HEALTH CARE INC, LEGALLY: BAYADA NURSES, INC, ADDRESS: 2971 WILLOW CREEK ROAD, BUILDING 1, SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 759-5900, FAX: (928) 759-5982, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0180, LICENSE: OSC3782, NAME: SURGICENTER OF AMERICA, LP, LEGALLY: SURGICENTER OF AMERICA, LP, ADDRESS: 1040 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 258-1521, FAX: (602) 340-0889, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2974, LICENSE: OSC0068, NAME: OUTPATIENT SURGERY CENTER, LEGALLY: OUTPATIENT SURGERY CENTER, ADDRESS: 2255 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 464-8000, FAX: (480) 990-2556, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1770, LICENSE: OTC0187, NAME: SUN LIFE FAMILY HEALTH CENTER-MARICOPA SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - MARICOPA SATELLITE, ADDRESS: 44765 HATHAWAY AVENUE, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-2245, FAX: (520) 568-2316, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1377, LICENSE: OTC4598, NAME: CONCENTRA MEDICAL CENTER-NORTHWEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS NORTHWEST, ADDRESS: 14155 NORTH 83RD AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 487-8598, FAX: (623) 487-8647, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037146, LICENSE: HHA3820, NAME: MOHAVE HOME HEALTH, LEGALLY: MOHAVE HOME HEALTH, ADDRESS: 2755 SILVER CREEK ROAD, SUITE 127, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-6979, FAX: (928) 704-8815, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1114, LICENSE: OSC4258, NAME: PRESCOTT VISION & EYE SURGERY CENTER, LEGALLY: PRESCOTT VISION & EYE SURGERY CENTER, ADDRESS: 1680 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-3950, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0151, LICENSE: OTC0108, NAME: MARIPOSA COMMUNITY HEALTH CENTER, INC, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, INC., ADDRESS: 1852 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0407, LICENSE: HHA0152, NAME: SOUTHERN UTAH HOME CARE, LEGALLY: SOUTHERN UTAH HOME CARE INC, ADDRESS: 640 EAST 700 SOUTH, SUITE 101A, CITY: SAINT GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 634-9300, FAX: (435) 652-1677, CAPACITY: 0, COUNTY: WASHINGTON TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0060, LICENSE: OTC0114, NAME: CAMELBACK DIALYSIS SERVICES, LEGALLY: CAMELBACK DIALYSIS SERVICES, ADDRESS: 7321 EAST OSBORN DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 970-0924, FAX: (480) 421-9345, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1769, LICENSE: OTC4984, NAME: SUN LIFE FAMILY HEALTH CENTER INC- ELOY SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - ELOY SATELLITE, ADDRESS: 205 NORTH STUART BOULEVARD, CITY: ELOY, STATE: AZ, ZIP: 85131, PHONE: (520) 466-7883, FAX: (520) 466-3946, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037212, LICENSE: HHA4877, NAME: HEALTH AT HOME, LEGALLY: HEALTH AT HOME, ADDRESS: 2421 EAST SOUTHERN AVENUE, SUITE 8, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 413-9087, FAX: (480) 413-9092, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1327, LICENSE: HHA1383, NAME: WESTMINSTER VILLAGE HOME HEALTH SERVICES, LEGALLY: WESTMINSTER VILLAGE HOME HEALTH SERVICES, ADDRESS: 12000 NORTH 90TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 451-2000, FAX: (480) 451-2202, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0339, LICENSE: OSC0056, NAME: SUMMIT SURGERY & RECOVERY CARE CENTER, INC, LEGALLY: SUMMIT SURGERY & RECOVERY CARE CENTER, INC, ADDRESS: 1485 NORTH TURQUOISE DRIVE, SUITE 100, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3211, FAX: (928) 214-3220, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1159, LICENSE: OSC3897, NAME: SOUTHWESTERN EYE SURGICENTER- COTTONWOOD, LEGALLY: SOUTHWESTERN EYE SURGICENTER - COTTONWOOD, ADDRESS: 270 SOUTH CANDY LANE, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-4202, FAX: (928) 634-5963, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2024, LICENSE: NONE, NAME: PASCUA YAQUI TRIBE DIALYSIS, LEGALLY: PASCUA YAQUI TRIBE DIALYSIS, ADDRESS: 7490 SOUTH CAMINO DE OESTE, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 879-6000, FAX: (520) 879-6161, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0677, LICENSE: OSC3780, NAME: BANNER DESERT SURGERY CENTER, LEGALLY: BANNER DESERT SURGERY CENTER, LP, ADDRESS: 1500 SOUTH DOBSON ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-3590, FAX: (480) 512-3587, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1467, LICENSE: OTC3757, NAME: VIBRANTCARE OUTPATIENT REHAB-PALM VALLEY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-PALM VALLEY, ADDRESS: 13657 WEST MCDOWELL, SUITE 218, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 935-5538, FAX: (623) 935-3482, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0576, LICENSE: OTC3761, NAME: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH SERVICES, ADDRESS: 1645 EAST ROOSEVELT STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 506-6657, FAX: (602) 372-0342, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037215, LICENSE: HHA1446, NAME: LIFE CARE AT HOME OF ARIZONA, LEGALLY: LIFE CARE AT HOME OF ARIZONA INC, ADDRESS: 1661 EAST CAMELBACK ROAD, SUITE 255, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (480) 991-3303, FAX: (480) 922-4944, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0162, LICENSE: OSC5565, NAME: CIGNA MEDICAL GROUP-CIGNA OUTPATIENT SURGERY, LEGALLY: CIGNA MEDICAL GROUP-CIGNA OUTPATIENT SURGERY, ADDRESS: 3003 NORTH THIRD STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (623) 277-1131, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037154, LICENSE: HHA0204, NAME: NNI HOME CARE SERVICES, LEGALLY: NNI HOME CARE SERVICES, ADDRESS: 3085 NORTH WINDSONG DRIVE, SUITE A, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-8707, FAX: (928) 772-7054, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1165, LICENSE: HSPC1110, NAME: HIGHWAY CHRISTIAN HOSPICE, LEGALLY: HIGHWAY CHRISTIAN HOSPICE, ADDRESS: 67 EAST WELDON AVENUE, SUITE 317, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 274-1952, FAX: (602) 274-2338, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1423, LICENSE: OSC4190, NAME: BARNET DULANEY SURGERY CENTER- PHOENIX, LEGALLY: BARNET DULANEY SURGERY CENTER- PHOENIX, ADDRESS: 4800 NORTH 22ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-1000, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0616, LICENSE: OTC0716, NAME: CARONDELET COMMUNITY HEALTH CENTER CENTRO DE SALUD, LEGALLY: CARONDELET COMMUNITY HEALTH CENTER-CENTRO DE SALUD, ADDRESS: 125 EAST MADISON, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 872-6055, FAX: (520) 872-6557, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0654, LICENSE: HSPC0050, NAME: HOSPICE OF ARIZONA, LEGALLY: HOSPICE OF ARIZONA, ADDRESS: 19820 NORTH SEVENTH AVENUE, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 678-1313, FAX: (623) 535-0834, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0645, LICENSE: OTC0740, NAME: PLANNED PARENTHOOD - YUMA, LEGALLY: PLANNED PARENTHOOD - YUMA, ADDRESS: 1455 WEST 16TH STREET, SUITE C, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-4860, FAX: (928) 343-4845, CAPACITY: 0, COUNTY: YUMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037188, LICENSE: HHA0248, NAME: NIGHTINGALE HOMECARE, LEGALLY: NIGHTINGALE HOMECARE, ADDRESS: 2411 WEST ROSE GARDEN LANE, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 504-1555, FAX: (602) 504-1552, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0824, LICENSE: OSC0078, NAME: KOKOPELLI EYE CARE SURGERY CTR, LEGALLY: KOKOPELLI EYE CARE SURGERY CENTER, ADDRESS: 2820 NORTH GLASSFORD HILL ROAD, SUITE 101, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-9000, FAX: (928) 771-9460, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037185, LICENSE: HHA4351, NAME: WATERMARK AT HOME, LEGALLY: WATERMARK AT HOME, ADDRESS: 6240 EAST THOMAS ROAD, SUITE 203, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 946-4145, FAX: (480) 946-1280, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0164, LICENSE: OSC0041, NAME: WARNER PARK SURGERY CENTER, LEGALLY: WARNER PARK SURGERY CENTER, ADDRESS: 604 WEST WARNER ROAD, BUILDING A, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 899-2571, FAX: (480) 899-4263, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0660, LICENSE: OTC0750, NAME: MARIPOSA COMMUNITY HEALTH CENTER, INC, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, INC., ADDRESS: 1835 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1097, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE SURGICENTER - NOGALES, ADDRESS: 1815 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 761-3533, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0437, LICENSE: OTC3980, NAME: VIBRANTCARE OUTPATIENT REHAB-MESA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-MESA, ADDRESS: 2680 SOUTH VAL VISTA DRIVE, SUITE 106, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 892-7986, FAX: (480) 892-7455, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037015, LICENSE: HHA0015, NAME: BANNER HOME CARE, LEGALLY: BANNER HOME CARE, ADDRESS: 275 EAST GERMANN ROAD, SUITE 110S, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 657-1000, FAX: (480) 657-1794, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037027, LICENSE: HHA0032, NAME: SUMMIT HEALTHCARE HOME HEALTH, LEGALLY: SUMMIT HEALTHCARE, ADDRESS: 2200 SHOW LOW LAKE ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-6900, FAX: (928) 537-1336, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037042, LICENSE: HHA0048, NAME: NORTHERN ARIZONA HOMECARE COTTONWOOD, LEGALLY: NORTHERN ARIZONA HOMECARE COTTONWOOD, ADDRESS: 203 SOUTH CANDY LANE, SUITE 10 B, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6674, FAX: (928) 639-6004, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037101, LICENSE: HHA0110, NAME: FOUNDATION FOR SENIOR LIVING HOME HEALTH, LEGALLY: FOUNDATION FOR SENIOR LIVING HOME HEALTH, ADDRESS: 1201 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 285-1800, FAX: (602) 604-2254, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037106, LICENSE: HHA3720, NAME: AMEDISYS HOME HEALTH CARE, LEGALLY: AMEDISYS HOME HEALTH OF CENTRAL PHOENIX, ADDRESS: 7600 NORTH 16TH STREET, SUITE 250, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 395-1999, FAX: (602) 395-6678, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037114, LICENSE: HHA4580, NAME: PAYSON REGIONAL HOME HEALTH, LEGALLY: PAYSON REGIONAL HOME HEALTH, ADDRESS: 708 EAST ROUTE 260, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-5245, FAX: (928) 472-1348, CAPACITY: 0, COUNTY: GILA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0517, LICENSE: OTC4098, NAME: RENAL CARE GROUP-TEMPE, LEGALLY: RENAL CARE GROUP-TEMPE, ADDRESS: 1449 WEST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 967-6360, FAX: (480) 967-6184, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0184, LICENSE: OSC0034, NAME: VALLEY OUTPATIENT SURGERY CTR, LEGALLY: VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 160 WEST UNIVERSITY DRIVE, SUITE # 1, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 835-7373, FAX: (480) 969-7981, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0071, LICENSE: OTC0039, NAME: TUCSON WEST DIALYSIS, LEGALLY: TUCSON WEST DIALYSIS, ADDRESS: 1780 WEST ANKLAM ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 624-2220, FAX: (520) 620-6365, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED0431, LICENSE: , NAME: PLEASANT VALLEY COMM MEDICAL CENTER, LEGALLY: PLEASANT VALLEY COMMUNITY MEDICAL CENTER, ADDRESS: 124 NORTH TEWKSBURY BOULEVARD, CITY: YOUNG, STATE: AZ, ZIP: 85554, PHONE: (928) 462-3435, FAX: (928) 462-6644, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037300, LICENSE: HHA2931, NAME: INTERIM HEALTHCARE, LEGALLY: INTERIM HEALTHCARE, ADDRESS: 8125 NORTH 23RD AVENUE, SUITE 221, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 443-0111, FAX: (602) 443-0110, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1563, LICENSE: HHA1950, NAME: PROFESSIONAL HOME CARE SERVICES, LEGALLY: PROFESSIONAL HOME CARE SERVICES, ADDRESS: 7600 NORTH 16TH STREET, SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 263-5000, FAX: (602) 263-5061, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1569, LICENSE: OSC1965, NAME: SQUAW PEAK SURGICAL FACILITY, LEGALLY: SQUAW PEAK SURGICAL FACILITY, ADDRESS: 1635 EAST MYRTLE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 944-5656, FAX: (602) 944-2727, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0099, LICENSE: OTC5438, NAME: COCHISE HEALTH AND SOCIAL SERVICES, LEGALLY: COCHISE HEALTH AND SOCIAL SERVICES, ADDRESS: 1012 G AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 805-5600, FAX: (520) 364-5453, CAPACITY: 0, COUNTY: COCHISE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0157, LICENSE: OSC0043, NAME: PHYSICIANS SURGERY CENTER OF TEMPE, LLC, LEGALLY: PHYSICIANS SURGERY CENTER OF TEMPE, LLC, ADDRESS: 1940 EAST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-7101, FAX: (480) 820-9291, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED2223, LICENSE: FED ONLY, NAME: FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, LEGALLY: FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, ADDRESS: 3201 NORTH 16TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85011, PHONE: (602) 241-6656, FAX: (602) 241-7506, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0090, LICENSE: OTC0343, NAME: THREE POINTS CLINIC, LEGALLY: THREE POINTS CLINIC, ADDRESS: 15921 WEST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85735, PHONE: (520) 407-5700, FAX: (520) 822-2362, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1611, LICENSE: OTC4143, NAME: UNION HILLS FAMILY MEDICINE CENTER, LEGALLY: UNION HILLS FAMILY MEDICINE CENTER, ADDRESS: 18185 NORTH 83RD AVENUE, BLDG D, SUITE 107, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 583-0306, FAX: (623) 583-1349, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED1681, LICENSE: OTC4894, NAME: HEALTHCARE IMAGING, INC, LEGALLY: HEALTHCARE IMAGING, INC, ADDRESS: 5829 NORTH 7TH STREET, SUITE LJ, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 316-5100, FAX: (602) 954-9420, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0016, LICENSE: OTC4358, NAME: PLANNED PARENTHOOD - JEAN L. HOFFMAN CENTER, LEGALLY: PLANNED PARENTHOOD - JEAN L. HOFFMAN CENTER, ADDRESS: 529 WEST WETMORE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 628-3073, FAX: (520) 628-3083, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1176, LICENSE: OTC1471, NAME: CITADEL CARE CENTER, LEGALLY: CITADEL CARE CENTER, ADDRESS: 5121 EAST BROADWAY ROAD, THERAPY ANNEX, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-5555, FAX: (480) 924-0090, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1198, LICENSE: OTC1070, NAME: CIGNA NORTH VALLEY HEALTHCARE CENTER, LEGALLY: CIGNA NORTH VALLEY HEALTHCARE CENTER, ADDRESS: 710 WEST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0800, LICENSE: OTC3995, NAME: COTTONWOOD DIALYSIS, LEGALLY: COTTONWOOD DIALYSIS, ADDRESS: 203 SOUTH CANDY LANE, SUITE 11 A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-0014, FAX: (928) 639-0752, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0820, LICENSE: OTC0814, NAME: SUNSET COMMUNITY HEALTH CENTER-WELLTON, LEGALLY: SUNSET COMMUNITY HEALTH CENTER-WELLTON, ADDRESS: 10425 WILLIAMS STREET, CITY: WELLTON, STATE: AZ, ZIP: 85356, PHONE: (928) 819-8814, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0100, LICENSE: OTC0316, NAME: COCHISE HEALTH AND SOCIAL SERVICES SIERRA VISTA, LEGALLY: COCHISE HEALTH AND SOCIAL SERVICES SIERRA VISTA, ADDRESS: 4115 EAST FOOTHILLS DRIVE, SUITE A, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 803-3900, FAX: (520) 459-8195, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0502, LICENSE: HHA0192, NAME: HOME HEALTH INSIGHTS, LEGALLY: HOME HEALTH INSIGHTS, ADDRESS: 121 WEST FLORENCE BOULEVARD, SUITE A, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-2239, FAX: (520) 421-2503, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0108, LICENSE: , NAME: GLENDALE FAMILY HEALTH CENTER AND DIALYSIS SERVICE, LEGALLY: GLENDALE FAMILY HEALTH CENTER AND DIALYSIS SERVICES, ADDRESS: 5141 WEST LAMAR ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 344-6781, FAX: (602) 344-6775, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0436, LICENSE: OTC3818, NAME: VIBRANTCARE OUTPATIENT REHAB-TEMPE, LEGALLY: VIBRANT CARE-TEMPE, ADDRESS: 4515 SOUTH MC CLINTOCK DRIVE, SUITE 110, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 839-2196, FAX: (480) 831-3025, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0102, LICENSE: OTC0144, NAME: GRAHAM COUNTY HEALTH DEPARTMENT, LEGALLY: GRAHAM COUNTY HEALTH DEPARTMENT, ADDRESS: 826 WEST MAIN STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-1962, FAX: (928) 428-8074, CAPACITY: 0, COUNTY: GRAHAM TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1384, LICENSE: OTC1407, NAME: FMC DIALYSIS SERVICES NORTH SCOTTSDALE, LEGALLY: FMC DIALYSIS SERVICES NORTH SCOTTSDALE DIALYSIS, ADDRESS: 16101 NORTH 82ND STREET, SUITE 6 & 7, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 607-2953, FAX: (480) 607-2921, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0103, LICENSE: OTC0267, NAME: GREENLEE COUNTY HEALTH DEPARTMENT -CLIFTON, LEGALLY: GREENLEE COUNTY HEALTH DEPARTMENT, ADDRESS: FIFTH & LEONARD STREET, CITY: CLIFTON, STATE: AZ, ZIP: 85533, PHONE: (928) 865-2601, FAX: (928) 865-1929, CAPACITY: 0, COUNTY: GREENLEE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0364, LICENSE: OTC0608, NAME: SCOTTSDALE HEALTHCARE OPT THERAPY SERVICES SHEA, LEGALLY: SCOTTSDALE HEALTHCARE OUTPATIENT THERAPY SERVICES SHEA, ADDRESS: 10200 NORTH 92ND STREET, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-3934, FAX: (480) 323-3677, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0120, LICENSE: OTC0084A, NAME: PIMA COUNTY HEALTH DEPARTMENT - AJO, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - AJO, ADDRESS: 120 ESTRELLA AVENUE, CITY: AJO, STATE: AZ, ZIP: 85321, PHONE: (520) 387-7206, FAX: (520) 387-7393, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0121, LICENSE: OTC4785, NAME: PIMA COUNTY HEALTH DEPARTMENT-TB CLINIC, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-TB CLINIC, ADDRESS: 2980 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 243-8450, FAX: (520) 243-8465, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0122, LICENSE: OTC0731C, NAME: PIMA COUNTY HEALTH DEPARTMENT-EAST, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - EAST, ADDRESS: 6920 EAST BROADWAY, SUITE A, C, E, F, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 298-3888, FAX: (520) 721-8235, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0126, LICENSE: OTC0136G, NAME: PIMA COUNTY HEALTH DEPARTMENT-THERESA LEE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-THERESA LEE, ADDRESS: 332 SOUTH FREEWAY, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 624-8272, FAX: (520) 628-8951, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0123, LICENSE: OTC0309D, NAME: PIMA COUNTY HEALTH DEPT-GREEN VALLEY, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-GREEN VALLEY, ADDRESS: 601 NORTH LA CANADA, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 698-1626, FAX: (520) 648-6385, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0124, LICENSE: OTC0552E, NAME: PIMA COUNTY HEALTH DEPARTMENT-NORTH OFFICE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - NORTH OFFICE, ADDRESS: 3550 NORTH 1ST AVENUE, SUITE 300, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 243-2850, FAX: (520) 243-2888, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0125, LICENSE: OTC0078H, NAME: PIMA COUNTY HEALTH DEPARTMENT-WALTER C ROGERS, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-WALTER C. ROGERS, ADDRESS: 175 WEST IRVINGTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 889-9543, FAX: (520) 741-4329, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1390, LICENSE: , NAME: SUN LAKES HEALTH CENTER, LEGALLY: SUN LAKES HEALTH CENTER, ADDRESS: 10440 EAST RIGGS ROAD, SUITE 100, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 728-4256, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0145, LICENSE: OTC0403, NAME: DESERT MOUNTAIN DIALYSIS CENTER, LEGALLY: DESERT MOUNTAIN DIALYSIS CENTER, ADDRESS: 9220 EAST MOUNTAIN VIEW ROAD, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 391-2241, FAX: (480) 451-8331, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037132, LICENSE: HHA0178, NAME: MD HOME HEALTH & STAFFING, LEGALLY: MD HOME HEALTH AND STAFFING, ADDRESS: 7310 NORTH 16TH STREET, SUITE 165, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 266-9971, FAX: (602) 266-9968, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0188, LICENSE: OSC0047, NAME: SCOTTSDALE EYE SURGERY CENTER, LEGALLY: SCOTTSDALE EYE SURGERY CENTER, PC, ADDRESS: 3320 NORTH MILLER ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-1208, FAX: (480) 994-3316, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0530, LICENSE: OTC4051, NAME: NURSES OFFICE, THE, LEGALLY: NURSES OFFICE, THE, ADDRESS: 1757 JACKSON LANE, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-0461, FAX: (928) 368-4333, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0748, LICENSE: OTC0626, NAME: CIGNA CHANDLER HEALTHCARE CENTER, LEGALLY: CIGNA CHANDLER HEALTHCARE CENTER, ADDRESS: 1717 WEST CHANDLER BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (602) 371-2964, FAX: (602) 371-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0179, LICENSE: OSC0016, NAME: SURGERY CENTER OF PEORIA, LEGALLY: SURGERY CENTER OF PEORIA, ADDRESS: 13260 NORTH 94TH DRIVE, SUITE # 200, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 933-2900, FAX: (623) 933-0017, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037199, LICENSE: HHA0268, NAME: ARIZONA HOME CARE, LEGALLY: ARIZONA HOME CARE, ADDRESS: 1626 SOUTH EDWARD DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (602) 252-5000, FAX: (602) 323-5070, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1779, LICENSE: OSC2285, NAME: CANYON SURGERY CENTER, LEGALLY: CANYON SURGERY CENTER, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 589-8000, FAX: (602) 249-8084, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1798, LICENSE: OSC2303, NAME: AMBULATORY SURGI-CENTER AT FMC, THE, LEGALLY: AMBULATORY SURGI-CENTER AT FMC, THE, ADDRESS: 1200 NORTH BEAVER STREET, SUITE B, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-2700, FAX: (928) 214-3816, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0084, LICENSE: OTC0037, NAME: ST ELIZABETH'S HEALTH CENTER, LEGALLY: ST. ELIZABETH'S HEALTH CENTER, ADDRESS: 140 WEST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 628-7871, FAX: (520) 205-8461, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0095, LICENSE: OTC3619, NAME: YUMA DIALYSIS, LEGALLY: YUMA DIALYSIS, ADDRESS: 2130 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-2365, FAX: (928) 783-6870, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0327, LICENSE: OTC0645, NAME: EL RIO SPECIAL IMMUNOLOGY CLINIC, LEGALLY: EL RIO SPECIAL IMMUNOLOGY CLINIC, ADDRESS: 1701 WEST SAINT MARYS ROAD, SUITE 140, 160, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 628-8287, FAX: (520) 741-8818, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0414, LICENSE: OTC0533, NAME: LA POSADA OUTPATIENT THERAPIES, LEGALLY: LA POSADA OUTPATIENT THERAPIES, ADDRESS: 700 SOUTH LA POSADA CIRCLE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 648-2200, FAX: (520) 648-8389, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0685, LICENSE: OTC0811, NAME: FRESENIUS MEDICAL CARE-CASA GRANDE, LEGALLY: FRESENIUS MEDICAL CARE-CASA GRANDE, ADDRESS: 695 EAST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-2566, FAX: (520) 836-2808, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037129, LICENSE: HHA3393, NAME: DEPENDABLE HOME HEALTH - NOGALES, LEGALLY: DEPENDABLE HOME HEALTH, INC., ADDRESS: 857 WEST BELL ROAD, SUITE 7, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 761-3211, FAX: (520) 281-9213, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1741, LICENSE: OTC2379, NAME: JCL DEER VALLEY FAMILY PRACTICE, LEGALLY: JOHN C LINCOLN, LLC, ADDRESS: 19636 NORTH 27TH AVENUE, SUITE 308, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 780-1999, FAX: (623) 516-0950, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0495, LICENSE: OTC0576, NAME: WESTERN SKIES DIALYSIS, INC, LEGALLY: WESTERN SKIES DIALYSIS, INC., ADDRESS: 1041 NORTH ARIZOLA ROAD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 836-5883, FAX: (520) 836-2728, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0592, LICENSE: OTC0698, NAME: MAYO CLINIC-THUNDERBIRD, LEGALLY: MAYO CLINIC-THUNDERBIRD, ADDRESS: 13737 NORTH 92ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 860-4800, FAX: (480) 860-4820, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1797, LICENSE: OSC2406, NAME: PHYSICIANS' SURGERY CENTER, LEGALLY: PHYSICIAN'S SURGERY CENTER, ADDRESS: 1800 HIGHWAY 95, SUITE 5, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-1919, FAX: (928) 763-3012, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1394, LICENSE: HHA1269, NAME: ARCADIA HOME CARE & STAFFING, LEGALLY: ARCADIA HOME CARE & STAFFING, ADDRESS: 4615 NORTH FIRST AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (248) 352-7530, FAX: (248) 352-5189, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0787, LICENSE: OTC0624, NAME: CIGNA PASEO HEALTH CARE CTR (URGENT CARE CENTER), LEGALLY: CIGNA PASEO HEALTH CARE CENTER, ADDRESS: 5891 WEST EUGIE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0154, LICENSE: OTC5123, NAME: YAVAPAI COUNTY COMMUNITY HEALTH SERVICE, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, ADDRESS: 51 BRIAN MICKELSEN PARKWAY, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-8130, FAX: (928) 639-8179, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0075, LICENSE: OTC0006, NAME: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC, LEGALLY: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC., ADDRESS: 839 WEST CONGRESS STREET, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 792-9890, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1870, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR-ALVERNON SURGERY, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CTR- ALVERNON SURGERY CTR, THE, ADDRESS: 750 NORTH ALVERNON WAY, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 321-1746, FAX: (520) 321-1756, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0074, LICENSE: OTC0307, NAME: D C I DESERT DIALYSIS CENTER, LEGALLY: DCI DESERT DIALYSIS CENTER, ADDRESS: 2022 EAST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 327-0007, FAX: (520) 327-6902, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0727, LICENSE: OTC0357, NAME: SUN LIFE FAMILY HEALTH CENTER INC-SAN MANUEL, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - SAN MANUEL SATELLITE, ADDRESS: 23 MCNAB PARKWAY, CITY: SAN MANUEL, STATE: AZ, ZIP: 85631, PHONE: (520) 385-2234, FAX: (520) 381-3209, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0549, LICENSE: OTC4039, NAME: RENAL CARE GROUP-SAFFORD, LEGALLY: RENAL CARE GROUP - SAFFORD, ADDRESS: 1250 SOUTH 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-1400, FAX: (928) 428-1478, CAPACITY: 0, COUNTY: GRAHAM TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1902, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE SURGICENTER - SAFFORD, ADDRESS: 2242 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-0068, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: GRAHAM TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0128, LICENSE: OTC0285, NAME: YUMA COUNTY PUBLIC HEALTH SERVICES, LEGALLY: YUMA COUNTY PUBLIC HEALTH SERVICES, ADDRESS: 2200 WEST 28TH STREET, SUITE 137, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 317-4540, FAX: (928) 317-4501, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1510, LICENSE: OTC1631, NAME: SAHUARITA WELLNESS CENTER, LEGALLY: SAHUARITA WELLNESS CENTER, ADDRESS: 350 WEST SAHUARITA ROAD, CITY: SAHUARITA, STATE: AZ, ZIP: 85629, PHONE: (520) 625-3502, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1833, LICENSE: OSC5078, NAME: ARIZONA ENDOSCOPY CENTER, LEGALLY: ARIZONA ENDOSCOPY CENTER, ADDRESS: 1410 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 716-9655, FAX: (602) 716-9659, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1518, LICENSE: OTC3769, NAME: VIBRANTCARE OUTPATIENT REHABILITATION, WEST, INC, LEGALLY: VIBRANTCARE OUTPATIENT REHABILITATION, WEST, INC, ADDRESS: 1355 EAST FLORENCE BOULEVARD, SUITE #137, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-7996, FAX: (520) 836-5299, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0573, LICENSE: OTC0677, NAME: FAMILY HEALTH CENTER, LEGALLY: FAMILY HEALTH CENTER, ADDRESS: 1500 EAST CEDAR AVENUE, SUITE 26, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 773-1245, FAX: (928) 773-9429, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037052, LICENSE: HHA0053, NAME: UNIVERSITY OF ARIZONA MEDICAL CTRR-HOME HEAL, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER-HOME HEALTH SERVICES, THE, ADDRESS: 655 EAST RIVER ROAD, SUITE B209, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-4663, FAX: (520) 694-2560, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0029, LICENSE: OTC5149, NAME: NORTHERN ARIZONA UNIVERSITY-CAMPUS HEALTH SERVICES, LEGALLY: NORTHERN ARIZONA UNIVERSITY-CAMPUS HEALTH SERVICES, ADDRESS: 824 SOUTH SAN FRANCISCO STREET, BUILDING 25, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86011, PHONE: (928) 523-6343, FAX: (928) 523-4411, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0023, LICENSE: OTC0605, NAME: SIERRA VISTA DIALYSIS, LEGALLY: SIERRA VISTA DIALYSIS, ADDRESS: 629 NORTH HIGHWAY 90, SUITE 06, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 429-7791, FAX: (520) 429-7129, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0818, LICENSE: OTC0630, NAME: CIGNA SUN CITY HEALTH CARE CENTER, LEGALLY: CIGNA SUN CITY HEALTH CARE CENTER, ADDRESS: 13041 NORTH DEL WEBB BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0526, LICENSE: OTC0609, NAME: BMA DIALYSIS SERVICES SUN CITY WEST, LEGALLY: BMA DIALYIS SERVICES SUN CITY WEST, ADDRESS: 12213 WEST BELL ROAD, SUITE 110, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 583-8865, FAX: (623) 583-8970, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0035, LICENSE: OTC0141, NAME: ASU HEALTH SERVICE - TEMPE, LEGALLY: ASU HEALTH SERVICE - TEMPE, ADDRESS: 451 EAST UNIVERSITY DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85287, PHONE: (480) 965-1145, FAX: (480) 965-2269, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037192, LICENSE: HHA4586, NAME: AMEDISYS HOME HEALTH, LEGALLY: AMEDISYS HOME HEALTH, ADDRESS: 1380 SOUTH CASTLE DOME AVENUE, SUITE 107, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 341-1300, FAX: (928) 344-1454, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1860, LICENSE: OSC5442, NAME: DESERT CLIFFS SURGERY CENTER, LLC, LEGALLY: DESERT CLIFFS SURGERY CENTER, LLC, ADDRESS: 2250 WEST SOUTHERN AVENUE, SUITE #101, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 835-5532, FAX: (480) 962-0106, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0512, LICENSE: HSPC0030, NAME: HOSPICE FAMILY CARE, INC., LEGALLY: HOSPICE FAMILY CARE, INC, ADDRESS: 6300 EAST EL DORADO PLAZA, A-100, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 790-9299, FAX: (520) 790-9211, CAPACITY: 0, COUNTY: PIMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED1600, LICENSE: OSC1924, NAME: PARADISE VALLEY COSMETIC SURGERY CENTER, LEGALLY: PARADISE VALLEY COSMETIC SURGERY CENTER, ADDRESS: 5410 NORTH SCOTTSDALE ROAD, SUITE E-100, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 994-4080, FAX: (480) 994-7325, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0459, LICENSE: HSPC0020, NAME: T M C HOSPICE AKA PEPPI'S HOUSE (HOME HOSPICE), LEGALLY: T M C HOSPICE AKA PEPPI'S HOUSE, ADDRESS: 2715 NORTH WYATT, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-2438, FAX: (520) 324-2432, CAPACITY: 16, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1648, LICENSE: OTC4656, NAME: JCL DEER VALLEY MEDICAL, LEGALLY: JCL DEER VALLEY MEDICAL, ADDRESS: 6206 WEST BELL ROAD, SUITE 5, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 375-5440, FAX: (602) 375-5510, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0438, LICENSE: OTC3766, NAME: VIBRANTCARE OUTPATIENT REHAB-THUNDERBIRD (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-THUNDERBIRD, ADDRESS: 5601 WEST EUGIE, SUITE 202, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 843-8436, FAX: (602) 843-8947, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0560, LICENSE: HSPC0038, NAME: HOSPICE COMPASSUS-CASA GRANDE, LEGALLY: HOSPICE COMPASSUS - CASA GRANDE, ADDRESS: 1675 EAST MONUMENT PLAZA DRIVE, SUITE A, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-7143, FAX: (520) 421-7315, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1565, LICENSE: HSPC2047, NAME: HOSPICE COMPASSUS-WHITE MOUNTAIN, LEGALLY: HOSPICE COMPASSUS-WHITE MOUNTAIN, ADDRESS: 1789 WEST COMMERCE DRIVE, SUITE A, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-4400, FAX: (928) 368-4424, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0482, LICENSE: HSPC0026, NAME: SCOTTSDALE HOSPICE OF VALLEY, LEGALLY: SCOTTSDALE HOSPICE OF THE VALLEY, ADDRESS: 16117 NORTH 76TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 663-6500, FAX: (480) 654-6736, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1586, LICENSE: , NAME: CARONDELET IMAGING CENTER, LEGALLY: CARONDELET IMAGING CENTER, ADDRESS: 630 NORTH ALVERNON WAY, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 322-8273, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0076, LICENSE: OTC4982, NAME: EL PUEBLO HEALTH CENTER, LEGALLY: EL PUEBLO HEALTH CENTER, ADDRESS: 101 WEST IRVINGTON, SUITE #10, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 792-9890, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0599, LICENSE: OTC0710, NAME: HEART INSTITUTE OF NORTHERN ARIZONA, LEGALLY: HEART INSTITUTE OF NORTHERN ARIZONA, ADDRESS: 1753 AIRWAY AVENUE, SUITE B, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 692-6200, FAX: (928) 692-9474, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0725, LICENSE: OTC0819, NAME: MARANA TEEN WELLNESS CENTER (SCHOOL BASED), LEGALLY: MARANA TEEN WELLNESS CENTER, ADDRESS: 12000 WEST EMIGH ROAD, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 682-4111, FAX: (520) 682-3217, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037070, LICENSE: HHA3118, NAME: DEPENDABLE HOME HEALTH, INC, LEGALLY: DEPENDABLE HOME HEALTH, INC, ADDRESS: 1120 SOUTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 721-3822, FAX: (520) 512-0439, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037050, LICENSE: HHA0059, NAME: KRMCHOME HEALTH, LEGALLY: KRMC HOME HEALTH, ADDRESS: 2202 STOCKTON HILL ROAD, SUITE 200, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 692-4630, FAX: (928) 692-2733, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0577, LICENSE: OTC0682, NAME: SCOTTSDALE HEALTHCARE OPT THERAPY SERVICES OSBORN, LEGALLY: SCOTTSDALE HEALTHCARE OUTPATIENT THERAPY SERVICES OSBORN, ADDRESS: 3134 NORTH CIVIC CENTER PLAZA, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4934, FAX: (480) 947-3159, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0429, LICENSE: OTC4510, NAME: ADELANTE HEALTHCARE - WICKENBURG, LEGALLY: ADELANTE HEALTHCARE, INC, ADDRESS: 811 NORTH TEGENER STREET, SUITE 113, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (623) 583-3001, FAX: (623) 583-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0104, LICENSE: OTC0744, NAME: LA PAZ COUNTY HEALTH DEPARTMENT, LEGALLY: LA PAZ COUNTY HEALTH DEPARTMENT, ADDRESS: 1112 JOSHUA AVENUE, SUITE 206, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-1100, FAX: (928) 669-6703, CAPACITY: 0, COUNTY: LA PAZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1254, LICENSE: OTC1175, NAME: PRIMECARE CENTRAL CLINIC (URGENT CARE), LEGALLY: PRIMECARE CENTRAL CLINIC, ADDRESS: 284 WEST 32ND STREET, SUITE 436, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-0488, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0767, LICENSE: OTC4562, NAME: SELECT PHYSICAL THERAPY-BAYWOOD (036574), LEGALLY: SELECT PHYSICAL THERAPY-BAYWOOD, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 205, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 396-9922, FAX: (480) 396-2429, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0552, LICENSE: OTC4557, NAME: SELECT PHYSICAL THERAPY-GILBERT (036534), LEGALLY: SELECT PHYSICAL THERAPY-GILBERT, ADDRESS: 3507 SOUTH MERCY ROAD, BUILDING 8, #105, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 926-0404, FAX: (480) 892-8564, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0752, LICENSE: OTC4721, NAME: SOUTH YUMA DIALYSIS, LEGALLY: SOUTH YUMA DIALYSIS, ADDRESS: 7179 EAST 31ST PLACE, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 317-0517, FAX: (928) 726-9155, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0079, LICENSE: OTC0274, NAME: DESERT SENITA COMMUNITY HEALTH CENTER, LEGALLY: DESERT SENITA COMMUNITY HEALTH CENTER, ADDRESS: 410 MALACATE STREET, CITY: AJO, STATE: AZ, ZIP: 85321, PHONE: (520) 387-5651, FAX: (520) 387-3547, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1893, LICENSE: OTC4890, NAME: BANNER HEALTH SCH-BASED HEALTH CENTER OF CHANDLER, LEGALLY: BANNER HEALTH SCH-BASED HEALTH CENTER OF CHANDLER, ADDRESS: 777 EAST GALVESTON STREET, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 412-4900, FAX: (480) 412-6443, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037139, LICENSE: HHA0186, NAME: GRANITE MOUNTAIN HOME CARE, LEGALLY: GRANITE MOUNTAIN HOME CARE, ADDRESS: 3107 CLEARWATER DRIVE SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-2522, FAX: (928) 445-1910, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037213, LICENSE: HHA1562, NAME: BAYADA HOME HEALTH CARE INC, LEGALLY: BAYADA NURSES, ADDRESS: 6367 EAST TANQUE VERDE ROAD, SUITE 150, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 721-8800, FAX: (520) 721-9111, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1350, LICENSE: HSPC3821, NAME: MOHAVE HOSPICE, LEGALLY: MOHAVE HOSPICE, ADDRESS: 2755 SILVER CREEK ROAD, SUITE 127, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-3620, FAX: (928) 704-8850, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0536, LICENSE: OTC0643, NAME: CIGNA DEER VALLEY HEALTH CARE CENTER, LEGALLY: CIGNA DEER VALLEY HEALTH CARE CENTER, ADDRESS: 16635 NORTH 43RD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0038, LICENSE: OTC0332, NAME: BMA CENTRAL PHOENIX DIALYSIS, LEGALLY: BMA CENTRAL PHOENIX DIALYSIS, ADDRESS: 3421 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 274-2293, FAX: (602) 274-0127, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1230, LICENSE: OSC0083, NAME: NORTHERN ARIZONA SURGICENTER, LEGALLY: NORTHERN ARIZONA SURGICENTER, ADDRESS: 1020 NORTH SAN FRANCISCO, SUITE #100, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-2122, FAX: (928) 214-2136, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0618, LICENSE: OTC5640, NAME: PAPAGO DIALYSIS CENTER, LEGALLY: PAPAGO DIALYSIS CENTER, ADDRESS: 1401 NORTH 24TH STREET, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 392-0668, FAX: (602) 392-0669, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037112, LICENSE: HHA3447, NAME: INTREPID USA HEALTHCARE SERVICES, LEGALLY: INTREPID USA HEALTHCARE SERVICES, ADDRESS: 310 SOUTH WILLIAMS BOULEVARD, SUITE 340, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 722-0555, FAX: (520) 512-0883, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0134, LICENSE: OTC0637, NAME: BMA FLAGSTAFF DIALYSIS CENTER, LEGALLY: BMA FLAGSTAFF DIALYSIS CENTER, ADDRESS: 5200 EAST CORTLAND BOULEVARD, SUITE #A-1, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 527-4990, FAX: (928) 527-4986, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0736, LICENSE: OTC0802, NAME: ADELANTE HEALTHCARE - BUCKEYE, LEGALLY: ADELANTE HEALTHCARE - BUCKEYE, ADDRESS: 306 EAST MONROE, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (877) 809-5092, FAX: (623) 583-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0676, LICENSE: OTC0779, NAME: TUCSON SOUTH DIALYSIS, LEGALLY: TUCSON SOUTH DIALYSIS, ADDRESS: 3662 SOUTH 16TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 882-9665, FAX: (520) 882-9206, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037118, LICENSE: HHA0166, NAME: NURSECORE OF TUCSON, LEGALLY: NURSECORE OF TUCSON, ADDRESS: 2980 NORTH CAMPBELL, SUITE 160, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 791-2300, FAX: (520) 326-7030, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1632, LICENSE: OTC2076, NAME: PALO VERDE PHYSICAL THERAPY, LEGALLY: PALO VERDE PHYSICAL THERAPY, ADDRESS: 3003 HIGHWAY 95, SUITE 61, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-0029, FAX: (928) 758-0055, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0324, LICENSE: OTC0439, NAME: FMC DIALYSIS OF DESERT VALLEY, LEGALLY: FMC DIALYSIS OF DESERT VALLEY, ADDRESS: 15846 NORTH CAVE CREEK ROAD, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 971-4555, FAX: (602) 971-4160, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0441, LICENSE: OTC5229, NAME: REHAB WITHOUT WALLS, LEGALLY: REHAB WITHOUT WALLS, LLC, ADDRESS: 7227 NORTH 16TH STREET, SUITE 107, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 943-1012, FAX: (602) 943-2075, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037028, LICENSE: HHA5182, NAME: HORIZON HOME CARE, LEGALLY: ARIZONA HOMECARE VENTURES, LLC, ADDRESS: 1729 NORTH TREKELL ROAD, SUITE 114, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 836-5046, FAX: (520) 836-5047, CAPACITY: 0, COUNTY: PINAL TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2016, LICENSE: OTC3756, NAME: VIBRANTCARE OUTPATIENT REHAB-EAST MESA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-EAST MESA, ADDRESS: 5440 EAST SOUTHERN AVENUE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 641-3533, FAX: (480) 641-3935, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0147, LICENSE: OTC5185, NAME: DSI SOUTHWEST MESA RENAL CENTER, LEGALLY: DSI SOUTHWEST MESA RENAL CENTER, ADDRESS: 1457 WEST SOUTHERN AVENUE, SUITE 19, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 894-5411, FAX: (480) 894-2607, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037204, LICENSE: HHA4589, NAME: LOVING CARE AGENCY, LEGALLY: LOVING CARE AGENCY, ADDRESS: 711 EAST MISSOURI AVENUE, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 433-1200, FAX: (480) 838-3347, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0527, LICENSE: OTC0636, NAME: CIGNA C J HARRIS HEALTHCARE CENTER, LEGALLY: CIGNA C J HARRIS HEALTHCARE CENTER, ADDRESS: 1920 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0700, LICENSE: OTC3789, NAME: VIBRANTCARE OUTPATIENT REHAB-GREENWAY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB WEST INC GREENWAY, ADDRESS: 402 EAST GREENWAY PARKWAY, SUITE 12, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 789-6878, FAX: (602) 789-6708, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1753, LICENSE: HHA2347, NAME: LA POSADA HOME CARE, LEGALLY: LA POSADA HOME CARE, ADDRESS: 501 SOUTH LA POSADA CIRCLE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 648-8106, FAX: (520) 648-7888, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037125, LICENSE: HHA0140, NAME: NSI NURSING SERVICE INC, LEGALLY: NSI NURSING SERVICE, INC., ADDRESS: 3075 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-1117, FAX: (520) 731-1118, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0037, LICENSE: OTC4097, NAME: RENAL CARE GROUP-CHANDLER, LEGALLY: FRESENIUS MEDICAL CARE, ADDRESS: 912 WEST CHANDLER BOULEVARD, BUILDING A, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 821-9801, FAX: (480) 821-7879, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0053, LICENSE: OTC4848, NAME: PLANNED PARENTHOOD - GLENDALE, LEGALLY: PLANNED PARENTHOOD-GLENDALE, ADDRESS: 5771 WEST EUGIE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 934-7006, FAX: (623) 937-3014, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0690, LICENSE: HSPC0044, NAME: HOSPICE FAMILY CARE, LEGALLY: HOSPICE FAMILY CARE, ADDRESS: 1550 SOUTH ALMA SCHOOL ROAD, SUITE #102, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 461-3144, FAX: (480) 844-9711, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0812, LICENSE: OTC0648, NAME: CIGNA SOUTH MOUNTAIN HEALTHCARE CENTER (URGENT), LEGALLY: CIGNA SOUTH MOUNTAIN HEALTHCARE CENTER, ADDRESS: 7236 SOUTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 276-5525, FAX: (602) 232-9685, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1733, LICENSE: OTC2134, NAME: LAKE VALLEY ELEMENTARY SCHOOL (SCHOOL BASED CLINIC, LEGALLY: LAKE VALLEY ELEMENTARY SCHOOL - ROOM C7, ADDRESS: 3900 STARLIGHT, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1886, LICENSE: OTC2638, NAME: TERRITORIAL ELEMENTARY SCHOOL (SCHOOL BASED), LEGALLY: TERRITORIAL ELEMENTARY SCHOOL, ADDRESS: 1088 MAHAN LANE, ROOM C 31, CITY: CHINO VALLEY, STATE: AZ, ZIP: 86323, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0061, LICENSE: OTC5343, NAME: PLANNED PARENTHOOD - CENTRAL, LEGALLY: PLANNED PARENTHOOD - CENTRAL PHOENIX, ADDRESS: 5651 NORTH 7TH STREET, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 263-2237, FAX: (602) 604-0159, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0020, LICENSE: OTC4308, NAME: PLANNED PARENTHOOD - MARYVALE, LEGALLY: PLANNED PARENTHOOD - MARYVALE CLINIC, ADDRESS: 4616 NORTH 51ST AVENUE, SUITE 210, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 209-9838, FAX: (623) 209-9843, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0821, LICENSE: OTC5146, NAME: WEST OLIVE FAMILY MEDICINE CENTER, LEGALLY: WEST OLIVE FAMILY MEDICINE CENTER, ADDRESS: 5112 WEST OLIVE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 939-8618, FAX: (623) 939-9184, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0439, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER-CARDIAC CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER-CARDIAC CENTER, ADDRESS: 10415 WEST THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-0398, FAX: (623) 977-6899, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0452, LICENSE: OTC0538, NAME: ROYAL OAKS LIFECARE CENTER-CLINIC, LEGALLY: ROYAL OAKS LIFECARE CENTER - CLINIC, ADDRESS: 10015 WEST ROYAL OAK ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-4136, FAX: (623) 815-4118, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0059, LICENSE: OTC0669, NAME: ST. VINCENT DE PAUL VIRGINIA G PIPER MED & DENTAL, LEGALLY: ST. VINCENT DE PAUL VIRGINIA G PIPER MEDICAL & DENTAL CLINIC, ADDRESS: 420 WEST WATKINS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 261-6868, FAX: (602) 261-6816, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0638, LICENSE: OTC0738, NAME: COBRE VALLEY REGIONAL MEDICAL CENTER/PHY THER DEPT, LEGALLY: COBRE VALLEY REGIONAL MEDICAL CENTER/PHYSICAL THERAPY DEPARTMENT, ADDRESS: 5880 SOUTH HOSPITAL DRIVE, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 402-1280, FAX: (928) 402-1284, CAPACITY: 0, COUNTY: GILA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0050, LICENSE: OTC0106, NAME: JESSE OWENS URGENT CARE, LEGALLY: JESSE OWENS URGENT CARE, ADDRESS: 325 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 824-4352, FAX: (602) 824-4259, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0731, LICENSE: OTC4628, NAME: ASU HEALTH SERVICES - WEST CAMPUS, LEGALLY: ASU HEALTH SERVICES - WEST CAMPUS, ADDRESS: 4701 WEST THUNDERBIRD ROAD, UCB 190, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 543-8019, FAX: (602) 543-8079, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1511, LICENSE: OTC1625, NAME: SAHUARITA WELLNESS CENTER - SOPORI ELEMENTARY, LEGALLY: SAHUARITA WELLNESS CENTER AT SOPORI ELEMENTARY, ADDRESS: 5000 WEST ARIVACA ROAD, CITY: AMADO, STATE: AZ, ZIP: 85645, PHONE: (520) 407-5604, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0177, LICENSE: OSC0035, NAME: PRESCOTT OUTPATIENT SURGICAL CENTER, LEGALLY: PRESCOTT OUTPATIENT SURGICAL CENTER, ADDRESS: 815 AINSWORTH DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-9770, FAX: (928) 778-9028, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0014, LICENSE: HSPC0023, NAME: HOSPICE CASA DE LA PAZ, LEGALLY: HOSPICE CASA DE LA PAZ, ADDRESS: 185 SOUTH MOORMAN, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3080, FAX: (520) 417-3219, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0603, LICENSE: OTC4547, NAME: CIGNA SUN CITY WEST HEALTHCARE CENTER, LEGALLY: CIGNA SUN CITY WEST HEALTHCARE CENTER, ADDRESS: 13991 WEST GRAND AVENUE, CITY: SUN CITY, STATE: AZ, ZIP: 85374, PHONE: (623) 277-1131, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1578, LICENSE: OTC2061, NAME: SUN GROVE REHABILITATION CENTER, LEGALLY: SUN GROVE REHABILITATION CENTER, ADDRESS: 20625 NORTH LAKE PLEASANT DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 566-0642, FAX: (623) 476-3664, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1626, LICENSE: OTC4438, NAME: PASSPORT HEALTH-PHOENIX, LEGALLY: PASSPORT HEALTH-PHOENIX, ADDRESS: 2601 NORTH 3RD STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0814, LICENSE: OTC4338, NAME: CIGNA STAPLEY HEALTH CARE CENTER (URGENT CARE), LEGALLY: CIGNA STAPLEY HEALTH CARE CENTER, ADDRESS: 1840 SOUTH STAPLEY DRIVE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1994, LICENSE: OTC5186, NAME: DSI TEMPE RENAL CENTER, LEGALLY: DSI TEMPE RENAL CENTER, ADDRESS: 8820 SOUTH KYRENE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 893-2299, FAX: (480) 893-2910, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1974, LICENSE: HHA4711, NAME: MAXIM HEALTHCARE SERVICES, INC, LEGALLY: MAXIM HEALTHCARE SERVICES, INC, ADDRESS: 7250 NORTH 16TH STREET, SUITE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (480) 951-4044, FAX: (480) 970-6002, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0410, LICENSE: OTC0485, NAME: FAMILY HEALTH CENTER, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, ADDRESS: 101 TAYLOR STREET, CITY: PATAGONIA, STATE: AZ, ZIP: 85624, PHONE: (520) 394-2262, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2760, LICENSE: , NAME: RANCHO VISTOSO CENTER, LEGALLY: RANCHO VISTOSO CENTER, ADDRESS: 13101 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85737, PHONE: (520) 469-8100, FAX: (520) 901-3525, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0631, LICENSE: OTC0694, NAME: LIFE CARE CENTER OF SIERRA VISTA, LEGALLY: LIFE CARE CENTER OF SIERRA VISTA, ADDRESS: 2305 EAST WILCOX DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-1050, FAX: (520) 458-6944, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1786, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER REHAB SVS, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER REHABILITATION SERVICES, ADDRESS: 2151 SOUTH HIGHWAY 92, SUITE 105, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3112, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0015, LICENSE: OTC0382, NAME: FMC DIALYSIS SERVICES GLENDALE, LEGALLY: FMC DIALYSIS SERVICES GLENDALE, ADDRESS: 5957 WEST NORTHERN AVENUE, SUITE 108, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 435-1155, FAX: (623) 435-1883, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1914, LICENSE: OTC5638, NAME: NEXTCARE URGENT CARE - SEDONA, LEGALLY: NEXTCARE URGENT CARE - SEDONA, ADDRESS: 2530 WEST STATE ROUTE 89A, SUITE A, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 203-4813, FAX: (928) 203-0201, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2001, LICENSE: OTC2732, NAME: FREDONIA COMMUNITY HEALTH CENTER (URGENT CARE), LEGALLY: FREDONIA COMMUNITY HEALTH CENTER, ADDRESS: 100 EAST WOOD HILL ROAD, CITY: FREDONIA, STATE: AZ, ZIP: 86022, PHONE: (928) 643-6215, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1993, LICENSE: OTC5109, NAME: CANYONLANDS- BEAVER DAM, LEGALLY: CANYONLANDS- BEAVER DAM, ADDRESS: 3272 EAST RIO VIRGIN ROAD, CITY: BEAVER DAM, STATE: AZ, ZIP: 86432, PHONE: (928) 347-5971, FAX: (928) 347-5793, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1172, LICENSE: OTC1205, NAME: GOOD SAMARITAN SOCIETY-PRESCOTT VILLAGE OUTPATIENT, LEGALLY: GOOD SAMARITAN SOCIETY-PRESCOTT VILLAGE OUTPATIENT THERAPY CLINIC, ADDRESS: 1030 SCOTT DRIVE, SUITE B, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-2450, FAX: (928) 778-5251, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1930, LICENSE: OSC2726, NAME: SPECTRA EYE INSTITUTE, LEGALLY: SPECTRA EYE INSTITUTE, ADDRESS: 9849 WEST THUNDERBIRD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 583-2020, FAX: (623) 583-2075, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1189, LICENSE: OTC0918, NAME: UNIVERSITY MEDICAL CTR- PHOENIX TRANSPLANT MED OFF, LEGALLY: UNIVERSITY MEDICAL CTR- PHOENIX TRANSPLANT MEDICAL OFFICE, THE, ADDRESS: 926 EAST MCDOWELL ROAD, SUITE 134, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 257-4267, FAX: (602) 257-4305, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1989, LICENSE: OTC2700, NAME: ADVANCED URGENT CARE-ELLIOT, LEGALLY: ADVANCED URGENT CARE-ELLIOT, ADDRESS: 1804 WEST ELLIOT ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 456-0444, FAX: (480) 456-0449, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0815, LICENSE: OTC4571, NAME: SELECT PHYSICAL THERAPY NORTH 7TH STREET, LEGALLY: SELECT PHYSICAL THERAPY NORTH 7TH STREET, ADDRESS: 14001 NORTH 7TH STREET, BUILDING A-102, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 548-5445, FAX: (602) 548-4571, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0816, LICENSE: OTC4569, NAME: SELECT PHYSICAL THERAPY-PHOENIX (036573), LEGALLY: SELECT PHYSICAL THERAPY-PHOENIX, ADDRESS: 4045 EAST BELL ROAD, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 992-8352, FAX: (602) 992-5557, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1977, LICENSE: OTC2733, NAME: CHINO VALLEY MEDICAL CENTER (URGENT CARE), LEGALLY: CHINO VALLEY MEDICAL CENTER, ADDRESS: 474 NORTH HIGHWAY 89, CITY: CHINO VALLEY, STATE: AZ, ZIP: 86323, PHONE: (928) 636-4355, FAX: (928) 636-0754, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1906, LICENSE: OTC2749, NAME: NORTH COUNTRY HEALTHCARE-ST JOHNS(URGENT CARE), LEGALLY: NORTH COUNTRY HEALTHCARE-ST JOHNS, ADDRESS: 625 NORTH 13TH WEST, CITY: SAINT JOHNS, STATE: AZ, ZIP: 85936, PHONE: (928) 337-3705, FAX: (928) 337-3780, CAPACITY: 0, COUNTY: APACHE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0420, LICENSE: OTC0496, NAME: BMA WINSLOW DIALYSIS, LEGALLY: BMA WINSLOW DIALYSIS, ADDRESS: 1313 EAST THIRD STREET, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-3318, FAX: (928) 289-3420, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0022, LICENSE: OTC0354, NAME: PLANNED PARENTHOOD - SOUTHEAST, LEGALLY: PLANNED PARENTHOOD - SOUTHEAST CLINIC, ADDRESS: 1235 SOUTH GILBERT ROAD, SUITE 20, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-2741, FAX: (480) 892-0403, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1526, LICENSE: OTC4045, NAME: RENAL CARE GROUP-SHOW LOW, LEGALLY: RENAL CARE GROUP - SHOW LOW, ADDRESS: 1500 SOUTH WHITE MOUNTAIN ROAD, SUITE 202 & 204, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 532-8430, FAX: (480) 532-8240, CAPACITY: 0, COUNTY: NAVAJO TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0794, LICENSE: OTC0877, NAME: PHYSIOTHERAPY ASSOCIATES-TEMPE, LEGALLY: PHYSIOTHERAPY ASSOCIATES - TEMPE, ADDRESS: 1025 EAST BROADWAY ROAD, SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 829-0217, FAX: (480) 829-1410, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1577, LICENSE: OTC2063, NAME: PEORIA GOOD SHEPHERD OUTPATIENT CENTER, LEGALLY: PEORIA GOOD SHEPHERD OUTPATIENT CENTER, ADDRESS: 10323 WEST OLIVE AVENUE, THERAPY ROOM, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 875-0100, FAX: (623) 875-0110, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0630, LICENSE: HSPC0043, NAME: MT GRAHAM REGIONAL MEDICAL CENTER HOSPICE SERVICES, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER HOSPICE SERVICES, ADDRESS: 1600 SOUTH 20TH AVENUE, BUILDING E, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-5668, FAX: (928) 348-3868, CAPACITY: 0, COUNTY: GRAHAM TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1517, LICENSE: OTC0920, NAME: D C I DESERT DIALYSIS CENTER SOUTH, LEGALLY: DCI DESERT DIALYSIS CENTER SOUTH, ADDRESS: 1011 EAST PENNSYLVANIA STREET, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 806-0071, FAX: (520) 806-0986, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0550, LICENSE: OTC0650, NAME: CIGNA TEMPE HEALTH CARE CENTER, LEGALLY: CIGNA TEMPE HEALTH CARE CENTER, ADDRESS: 433 WEST BROADWAY ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0612, LICENSE: OTC0702, NAME: CIGNA SUPERSTITION SPRINGS HEALTHCARE CENTER, LEGALLY: CIGNA SUPERSTITION SPRINGS HEALTHCARE CENTER, ADDRESS: 6811 EAST SUPERSTITION SPRINGS BOULEVARD, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1259, LICENSE: OTC1186, NAME: MI CASA NURSING CENTER THERAPY, LEGALLY: MI CASA NURSING CENTER THERAPY, ADDRESS: 330 SOUTH PINNULE CIRCLE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-0687, FAX: (480) 396-5011, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0766, LICENSE: OTC4568, NAME: SELECT PHYSICAL THERAPY-BASELINE, LEGALLY: SELECT PHYSICAL THERAPY-BASELINE, ADDRESS: 1255 WEST BASELINE ROAD, SUITE 140, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 820-7675, FAX: (480) 820-1932, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1923, LICENSE: OSC4352, NAME: THUNDERBIRD ENDOSCOPY CENTER, LEGALLY: THUNDERBIRD ENDOSCOPY CENTER, ADDRESS: 5823 WEST EUGIE AVENUE, SUITE B, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 439-1717, FAX: (602) 938-0292, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0538, LICENSE: OTC3795, NAME: VIBRANTCARE OUTPATIENT REHAB-BETHANY OFF (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-BETHANY OFFICE, ADDRESS: 5830 NORTH 19TH AVENUE, WEST WING, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-0202, FAX: (602) 249-0004, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0566, LICENSE: OTC0665, NAME: ARIZONA TRAINING PROGRAM AT COOLIDGE, LEGALLY: ARIZONA TRAINING PROGRAM AT COOLIDGE, ADDRESS: 2800 NORTH HIGHWAY 87, CITY: COOLIDGE, STATE: AZ, ZIP: 85128, PHONE: (520) 723-2600, FAX: (520) 723-7555, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0795, LICENSE: OTC0628, NAME: CIGNA POINTE HEALTH CARE CENTER, LEGALLY: CIGNA POINTE HEALTH CARE CENTER, ADDRESS: 7600 NORTH 15TH STREET, SUITE 185, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 678-3065, FAX: (602) 588-6699, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0534, LICENSE: OTC4049, NAME: RENAL CARE GROUP-SUN CITY, LEGALLY: RENAL CARE GROUP - SUN CITY, ADDRESS: 10050 WEST BELL ROAD, SUITE 29-31, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-1770, FAX: (623) 815-1775, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1871, LICENSE: OTC2761, NAME: FMC DIALYSIS SERVICES-DEER VALLEY, LEGALLY: FMC DIALYSIS SERVICES DEER VALLEY, ADDRESS: 21241 NORTH 23RD AVENUE SUITE 11, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 869-6089, FAX: (623) 869-6717, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1181, LICENSE: OTC5092, NAME: RENAL CARE GROUP-MARYVALE, LEGALLY: RENAL CARE GROUP - MARYVALE, ADDRESS: 4502 WEST INDIAN SCHOOL ROAD, STE A4-11, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 247-0695, FAX: (623) 247-2040, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1464, LICENSE: OTC1496, NAME: MAYO CLINIC FAMILY MEDICINE-ARROWHEAD, LEGALLY: MAYO CLINIC FAMILY MEDICINE-ARROWHEAD, ADDRESS: 20199 NORTH 75TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-5252, FAX: (623) 561-8868, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0518, LICENSE: OTC0592, NAME: BMA ARCADIA DIALYSIS, LEGALLY: BMA ARCADIA DIALYSIS, ADDRESS: 2702 NORTH 44TH STREET, SUITE 107 B, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 955-7475, FAX: (602) 957-8232, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1950, LICENSE: OSC2781, NAME: TUCSON GASTROENTEROLOGY INSTITUTE, LEGALLY: TUCSON GASTROENTEROLOGY INSTITUTE, LLC, ADDRESS: 3040 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 327-3454, FAX: (520) 327-3431, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2017, LICENSE: OTC2783, NAME: ADVANCED URGENT CARE-DUNLAP, LEGALLY: ADVANCED URGENT CARE-DUNLAP, ADDRESS: 2423 WEST DUNLAP AVENUE, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 216-6862, FAX: (602) 216-9745, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1152, LICENSE: OTC3853, NAME: MOHAVE COUNTY DEPT OF PUBLIC HEALTH-KINGMAN, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH-KINGMAN, ADDRESS: 700 WEST BEALE STREET, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-0743, FAX: (928) 718-5547, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0504, LICENSE: OTC5501, NAME: NOGALES DIALYSIS, LEGALLY: NOGALES DIALYSIS, ADDRESS: 1605 NORTH INDUSTRIAL PARK DRIVE, SUITE H, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-5779, FAX: (520) 281-5873, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0595, LICENSE: OTC0705, NAME: BMA ARROWHEAD DIALYSIS, LEGALLY: BMA ARROWHEAD DIALYSIS, ADDRESS: 16844 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-8200, FAX: (602) 439-8600, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0042, LICENSE: OTC0181, NAME: NOAH HEUSER FAMILY MEDICINE, LEGALLY: NOAH HEUSER FAMILY MEDICINE, ADDRESS: 7301 EAST SECOND STREET, SUITE 210, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4545, FAX: (480) 946-6997, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1836, LICENSE: OSC3888, NAME: WETMORE SURGERY CENTER, LEGALLY: BARNET DULANEY PERKINS EYE CENTER, ADDRESS: 698 EAST WETMORE, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 888-6800, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0422, LICENSE: OTC0501, NAME: BMA ESTRELLA DIALYSIS, LEGALLY: BMA ESTRELLA DIALYSIS, ADDRESS: 5546 WEST ROOSEVELT ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85043, PHONE: (602) 352-0724, FAX: (602) 352-1014, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0072, LICENSE: OTC0564, NAME: TUCSON EAST DIALYSIS, LEGALLY: TUCSON EAST DIALYSIS, ADDRESS: 6420 EAST BROADWAY, SUITE C300, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 790-2775, FAX: (520) 790-3174, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0170, LICENSE: OSC0018, NAME: SOUTHWESTERN EYE CENTER, LTD, LEGALLY: SOUTHWESTERN EYE CENTER, LTD., ADDRESS: 5632 EAST 5TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8888, FAX: (520) 790-1427, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0539, LICENSE: OTC4527, NAME: CIGNA PARADISE VALLEY HEALTH CARE CENTER, LEGALLY: CIGNA PARADISE VALLEY HEALTHCARE CENTER, ADDRESS: 3805 EAST BELL ROAD, SUITE 2100, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0009, LICENSE: OTC0369, NAME: MAYO CLINIC BUILDING, LEGALLY: MAYO CLINIC SCOTTSDALE, ADDRESS: 13400 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85259, PHONE: (480) 301-8000, FAX: (480) 301-8367, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1842, LICENSE: OSC2487, NAME: ARIZONA KIDNEY DISEASE & HYPERTENSION CENTER, LEGALLY: ARIZONA KIDNEY DISEASE & HYPERTENSTION CENTER, ADDRESS: 3320 NORTH 2ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 200-8288, FAX: (602) 944-6882, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1582, LICENSE: OTC1862, NAME: GOOD SAMARITAN SOCIETY - PRESCOTT VALLEY, LEGALLY: GOOD SAMARITAN SOICIETY - PRESCOTT VALLEY, ADDRESS: 3380 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 775-0045, FAX: (928) 775-2777, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2013, LICENSE: OSC2831, NAME: TUCSON SURGERY CENTER, LEGALLY: TUCSON SURGERY CENTER, ADDRESS: 1398 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-5500, FAX: (520) 731-5555, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1119, LICENSE: OTC1087, NAME: GRANADA PRIMARY SCHOOL BASED HEALTH CLINIC, LEGALLY: GRANADA PRIMARY SCHOOL BASED HEALTH CLINIC, ADDRESS: 3232 WEST CAMPBELL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1475, LICENSE: OTC3578, NAME: AVALON CARE CENTER- SHADOW MOUNTAIN, LEGALLY: AVALON CARE CENTER- SHADOW MOUNTAIN, ADDRESS: 11150 NORTH 92ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 860-1766, FAX: (480) 451-1539, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0191, LICENSE: OSC0054, NAME: ARIZONA SURGICAL ARTS, LEGALLY: ARIZONA SURGICAL ARTS, ADDRESS: 1245 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 296-7550, FAX: (520) 722-6937, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0368, LICENSE: OTC4046, NAME: RENAL CARE GROUP-LAKE HAVASU, LEGALLY: RENAL CARE GROUP - LAKE HAVASU, ADDRESS: 1761 MCCULLOCH BOULEVARD, SUITE F, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-4748, FAX: (928) 680-4150, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0021, LICENSE: OTC0599, NAME: MOUNTAIN PARK HEALTH CENTER-BASELINE, LEGALLY: MOUNTAIN PARK HEALTH CENTER, ADDRESS: 635 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 243-1746, FAX: (602) 276-4427, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0340, LICENSE: H0189, NAME: KINDRED HOSPITAL ARIZONA PHOENIX, LEGALLY: KINDRED HOSPITAL-ARIZONA-PHOENIX, ADDRESS: 40 EAST INDIANOLA AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 280-7000, FAX: (602) 280-7299, CAPACITY: 58, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0196, LICENSE: RGH0128, NAME: NORTHERN COCHISE COMMUNITY HOSPITAL, LEGALLY: NORTHERN COCHISE COMMUNITY HOSPITAL, ADDRESS: 901 WEST REX ALLEN DRIVE, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-3541, FAX: (520) 384-9212, CAPACITY: 24, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: CHILDRENS, ID: MED0483, LICENSE: SH0188, NAME: LOS NINOS HOSPITAL, LEGALLY: LOS NINOS HOSPITAL, INC, ADDRESS: 2303 EAST THOMAS, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 243-4231, FAX: (602) 323-5988, CAPACITY: 15, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0532, LICENSE: SH0190, NAME: SELECT SPECIALTY HOSPITAL PHOENIX, LEGALLY: SELECT SPECIALTY HOSPITAL - PHOENIX, ADDRESS: 350 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6800, FAX: (602) 406-6891, CAPACITY: 48, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1946, LICENSE: OTC3684, NAME: WEST VALLEY URGENT CARE 1, LEGALLY: WEST VALLEY URGENT CARE 1, ADDRESS: 17218 NORTH 72ND DRIVE, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 334-8670, FAX: (623) 334-8675, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0194, LICENSE: H0096, NAME: BENSON HOSPITAL, LEGALLY: BENSON HOSPITAL, ADDRESS: 450 SOUTH OCOTILLO STREET, CITY: BENSON, STATE: AZ, ZIP: 85602, PHONE: (520) 586-2261, FAX: (520) 586-2265, CAPACITY: 22, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0565, LICENSE: SH0192, NAME: KINDRED HOSPITAL - TUCSON, LEGALLY: KINDRED HOSPITAL - TUCSON, ADDRESS: 355 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 584-4500, FAX: (520) 790-8133, CAPACITY: 51, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED1828, LICENSE: SH4026, NAME: HAVASU REGIONAL MED CENTER REHABILITATION PROGRAM, LEGALLY: HAVASU REGIONAL MEDICAL CENTER REHABILITATION PROGRAM, ADDRESS: 101 CIVIC CENTER LANE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 19, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0342, LICENSE: SH0181, NAME: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON, LEGALLY: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON, ADDRESS: 2650 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-1300, FAX: (520) 322-4400, CAPACITY: 80, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4487, LICENSE: H4925, NAME: ARIZONA HEART HOSPITAL, LEGALLY: ARIZONA HEART HOSPITAL, ADDRESS: 1930 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 532-1000, FAX: (602) 532-2000, CAPACITY: 59, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0204, LICENSE: H0089, NAME: PAYSON REGIONAL MEDICAL CENTER, LEGALLY: PAYSON REGIONAL MEDICAL CENTER, ADDRESS: 807 SOUTH PONDEROSA DRIVE, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-3222, FAX: (928) 472-1295, CAPACITY: 44, COUNTY: GILA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0249, LICENSE: SH0148, NAME: CARONDELET ST JOSEPHS O'RIELLY CARE CENTER, LEGALLY: CARONDELET ST JOSEPHS HOSPITAL O'REILLY CARE CENTER, ADDRESS: 350 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-3670, FAX: (520) 873-3966, CAPACITY: 15, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0449, LICENSE: HSPC0017, NAME: HOSPICE COMPASSUS-PAYSON, LEGALLY: HOSPICE COMPASSUS-PAYSON, ADDRESS: 511 SOUTH MUDSPRING ROAD, SUITE #1, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-6340, FAX: (928) 468-2120, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0019, LICENSE: OTC5369, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 117 EAST MAIN STREET, SUITE A100, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-1714, FAX: (928) 472-8070, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1653, LICENSE: OTC2220, NAME: GILA CO DIV OF HEALTH & EMERGENCY SVCS-PAYSON, LEGALLY: GILA COUNTY DIVISION OF HEALTH & EMERGENCY SERVICS-PAYSON, ADDRESS: 107 WEST FRONTIER STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-1210, FAX: (928) 474-7069, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1669, LICENSE: OTC1976, NAME: CANYON RANCH, LEGALLY: CANYON RANCH, ADDRESS: 8600 EAST ROCKCLIFF ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85750, PHONE: (520) 749-9655, FAX: (520) 239-8563, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1608, LICENSE: OTC4566, NAME: SELECT PHYSICAL THERAPY-SURPRISE (036573), LEGALLY: SELECT PHYSICAL THERAPY-SURPRISE, ADDRESS: 13951 WEST GRAND AVENUE, SUITE 201, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 537-9730, FAX: (623) 537-9871, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED2041, LICENSE: HSPC2833, NAME: SOUTHERN UTAH HOSPICE, LEGALLY: SOUTHERN UTAH HOSPICE, ADDRESS: 640 EAST 700 SOUTH, SUITE 101B, CITY: SAINT GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 634-9300, FAX: (435) 652-1677, CAPACITY: 0, COUNTY: WASHINGTON TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1448, LICENSE: , NAME: DIGNITY HEALTH URGENT CARE- GILBERT, LEGALLY: DIGNITY HEALTH URGENT CARE- GILBERT, ADDRESS: 1501 NORTH GILBERT ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 728-4100, FAX: (480) 728-4106, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2021, LICENSE: HHA4166, NAME: HERITAGE HOME HEALTHCARE PHOENIX, LEGALLY: HERITAGE HOME HEALTHCARE OF ARIZONA, INC, ADDRESS: 7310 NORTH 16TH STREET, SUITE 210, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 745-2900, FAX: (602) 745-2901, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0362, LICENSE: OTC0566, NAME: MESA DIALYSIS CENTER, LEGALLY: MESA DIALYSIS CENTER, ADDRESS: 1525 NORTH GILBERT ROAD, SUITE 121, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 497-1127, FAX: (480) 487-4559, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1556, LICENSE: OTC1842, NAME: ARCADIA FAMILY CLINIC, LEGALLY: ARCADIA FAMILY CLINIC, ADDRESS: 4131 NORTH 24TH STREET, SUITE B-102, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-6632, FAX: (602) 381-1341, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0174, LICENSE: OSC0045, NAME: NORTHWEST EYE SPECIALISTS THE CTR FOR EYE SURGERY, LEGALLY: NORTHWEST EYE SPECIALISTS THE CENTER FOR EYE SURGERY, ADDRESS: 5599 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 293-6740, FAX: (520) 293-6771, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1987, LICENSE: OTC2892, NAME: NEXTCARE URGENT CARE- PIMA, LEGALLY: NEXTCARE URGENT CARE - PIMA, ADDRESS: 6238 EAST PIMA STREET, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0098, LICENSE: OTC0314, NAME: COCHISE HEALTH & SOCIAL SERVICES, LEGALLY: COCHISE HEALTH & SOCIAL SERVICES, ADDRESS: 1415 WEST MELODY LANE, BUILDING A, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-9400, FAX: (520) 432-9480, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0553, LICENSE: OTC0654, NAME: NORTH PHOENIX DIALYSIS CENTER, LEGALLY: NORTH PHOENIX DIALYSIS CENTER, ADDRESS: 1957 WEST DUNLAP AVENUE, SUITE 6 C, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 943-1763, FAX: (602) 943-7088, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0152, LICENSE: OTC4203, NAME: RENAL CARE GROUP-GLOBE, LEGALLY: RENAL CARE GROUP - GLOBE, ADDRESS: 2250 US HIGHWAY 60, SUITE O-2, CITY: MIAMI, STATE: AZ, ZIP: 85539, PHONE: (928) 425-2624, FAX: (928) 425-8318, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037099, LICENSE: HHA4792, NAME: LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LEGALLY: LEGACY HOME HEALTHCARE OF SOUTHERN ARIZONA, LLC, ADDRESS: 4996 EAST MEDITERRANEAN DRIVE, SUITE D, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 335-6118, FAX: (520) 335-6736, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037206, LICENSE: HHA0263, NAME: HEALTH CORE HOME CARE, LEGALLY: HEALTH CORE HOME CARE, ADDRESS: 6601 EAST GRANT ROAD, SUITE 212, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 886-6620, FAX: (520) 751-9242, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1173, LICENSE: HSPC1059, NAME: ODYSSEY HOSPICE, LEGALLY: ODYSSEY HOSPICE, ADDRESS: 5210 EAST WILLIAMS CIRCLE, SUITE 300, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 577-0270, FAX: (520) 577-0450, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1862, LICENSE: OTC2463, NAME: PASSPORT HEALTH, LEGALLY: PASSPORT HEALTH, ADDRESS: 2435 EAST SOUTHERN AVENUE, SUITE 5, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 345-6800, FAX: (480) 855-2982, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0745, LICENSE: OTC0679, NAME: ADVANCED MEDICAL SPECIALISTS, LEGALLY: ADVANCED MEDICAL SPECIALISTS, ADDRESS: 901 EAST JEFFERSON STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 256-2281, FAX: (602) 256-6199, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1352, LICENSE: OTC0277, NAME: ADELANTE HEALTHCARE - GILA BEND, LEGALLY: ADELANTE HEALTHCARE, INC, ADDRESS: 100 NORTH GILA AVENUE, CITY: GILA BEND, STATE: AZ, ZIP: 85337, PHONE: (877) 809-5092, FAX: (623) 583-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0132, LICENSE: OTC4125, NAME: FRESENIUS MEDICAL CARE-THUNDERBIRD, LEGALLY: FRESENIUS MEDICAL CARE THUNDERBIRD, ADDRESS: 5750 WEST THUNDERBIRD, SUITE G-750, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-9502, FAX: (602) 439-8648, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0085, LICENSE: OTC0320, NAME: ARIVACA CLINIC, LEGALLY: ARIVACA CLINIC, ADDRESS: 17388 WEST 3RD STREET, CITY: ARIVACA, STATE: AZ, ZIP: 85601, PHONE: (520) 407-5500, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2114, LICENSE: , NAME: DIGNITY HEALTH URGENT CARE- AHWATUKEE, LEGALLY: DIGNITY HEALTH URGENT CARE- AHWATUKEE, ADDRESS: 4545 EAST CHANDLER BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 728-4000, FAX: (480) 728-4002, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0078, LICENSE: OTC5126, NAME: MARANA HEALTH CENTER, INC, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 13395 NORTH MARANA (MAIN), CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 682-4111, FAX: (520) 682-3817, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0435, LICENSE: OTC3790, NAME: VIBRANTCARE OUTPATIENT REHAB-CENTRAL PHX (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-CENTRAL PHOENIX, ADDRESS: 1010 EAST MCDOWELL ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 256-7232, FAX: (602) 256-7292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2303, LICENSE: OTC5129, NAME: PHOENIX CHILDREN'S HOSPITAL CHILD PROTECTION TEAM, LEGALLY: PHOENIX CHILDREN'S HOSPITAL CHILD PROTECTION TEAM, ADDRESS: 2346 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 282-0078, FAX: (602) 798-0309, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1614, LICENSE: OTC4828, NAME: FMC DIALYSIS SERVICES YAVAPAI, LEGALLY: FMC DIALYSIS SERVICES YAVAPAI, ADDRESS: 3605 RANCH DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86303, PHONE: (928) 443-9626, FAX: (928) 443-9629, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2032, LICENSE: HSPC2902, NAME: CHARLES WM LEIGHTON, JR HOSPICE, LEGALLY: CHARLES WM LEIGHTON, JR. HOSPICE, ADDRESS: 524 WEST MALEY PLACE, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-5878, FAX: (520) 384-4127, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2138, LICENSE: HSPC3014, NAME: HOV THUNDERBIRD PALLIATIVE CARE INPATIENT(031515), LEGALLY: HOSPICE OF THE VALLEY'S THUNDERBIRD PALLIATIVE CARE, ADDRESS: 13620 NORTH 55TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 978-1343, FAX: (602) 993-0012, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2197, LICENSE: HSPC5559, NAME: BANNER HOSPICE PEORIA HOUSE, LEGALLY: BANNER HOSPICE PEORIA HOUSE, ADDRESS: 8977 WEST ATHENS, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 583-3100, FAX: (623) 583-5410, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2198, LICENSE: HSPC3067, NAME: ODYSSEY HOSPICE MESA (031531), LEGALLY: ODYSSEY HOSPICE MESA, ADDRESS: 6215 EAST ARBOR AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 218-9000, FAX: (480) 218-9014, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2133, LICENSE: HSPC3009, NAME: NORTHERN ARIZONA HOSPICE-COTTONWOOD, LEGALLY: NORTHERN ARIZONA HOSPICE-COTTONWOOD, ADDRESS: 203 SOUTH CANDY LANE, SUITE 10A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6674, FAX: (928) 773-2078, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0541, LICENSE: OTC0646, NAME: CIGNA WESTRIDGE HEALTHCARE CENTER, LEGALLY: CIGNA WESTRIDGE HEALTHCARE CENTER, ADDRESS: 2302 NORTH 75TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 371-2964, FAX: (602) 371-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED1465, LICENSE: , NAME: ALLIANCE MOBILE X-RAY, LEGALLY: ALLIANCE MOBILE X-RAY, ADDRESS: 214 WHITE SPAR ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 717-1560, FAX: (928) 717-2105, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0734, LICENSE: OTC4808, NAME: BMA BULLHEAD CITY DIALYSIS, LEGALLY: BMA BULLHEAD CITY DIALYSIS, ADDRESS: 2650 MIRACLE MILE, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-5550, FAX: (928) 763-5588, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0091, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- NORTH CA, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER - NORTH CAMPUS, THE, ADDRESS: 3838 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 694-2873, FAX: (520) 694-0212, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0964, LICENSE: NONE, NAME: BARNET DULANEY SURGERY CENTER- SAFFORD, LEGALLY: BARNET DULANEY SURGERY CENTER- SAFFORD, ADDRESS: 825 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-6930, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: GRAHAM TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037144, LICENSE: HHA4958, NAME: WATERMARK AT HOME, LEGALLY: WATERMARK AT HOME, ADDRESS: 5830 NORTH FOUNTAINS AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 886-4400, FAX: (520) 290-1900, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037179, LICENSE: HHA0212, NAME: COPPER VALLEY HOME HEALTH, LEGALLY: COPPER VALLEY HOME HEALTH, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-7450, FAX: (520) 432-8092, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037020, LICENSE: HHA0157, NAME: HOSPICE OF THE VALLEY HOME HEALTH AGENCY, LEGALLY: HOSPICE OF THE VALLEY HOME HEALTH AGENCY, ADDRESS: 1510 EAST FLOWER, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0133, LICENSE: OTC4607, NAME: SELECT PHYSICAL THERAPY-TEMPE, LEGALLY: SELECT PHYSICAL THERAPY TEMPE, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 211, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 730-8033, FAX: (480) 730-1102, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0769, LICENSE: OTC4910, NAME: SELECT PHYSICAL THERAPY - NORTH 7TH (036560), LEGALLY: SELECT PHYSICAL THERAPY - NORTH 7TH, ADDRESS: 2942 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 992-8352, FAX: (602) 992-5557, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1711, LICENSE: FED ONLY, NAME: CHINLE DIALYSIS FACILITY, LEGALLY: CHINLE DIALYSIS FACILITY, ADDRESS: HIGHWAY 191, CITY: CHINLE, STATE: AZ, ZIP: 86503, PHONE: (928) 674-3674, FAX: (928) 674-3674, CAPACITY: 0, COUNTY: APACHE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1712, LICENSE: NONE, NAME: SELLS DIALYSIS, LEGALLY: SELLS DIALYSIS, ADDRESS: INDIAN HEALTH SERVICES HOSPITAL HIGHWAY 86, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-7615, FAX: (520) 383-3667, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED1715, LICENSE: NONE, NAME: GREASEWOOD CLINIC, LEGALLY: GREASEWOOD CLINIC, ADDRESS: PO BOX 457, HIGHWAY 264, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 654-3208, FAX: (928) 755-4831, CAPACITY: 0, COUNTY: APACHE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1532, LICENSE: NONE, NAME: COCHISE EYE AND LASER/RF EYE PC, LEGALLY: COCHISE EYE AND LASER/RF EYE PC, ADDRESS: 2445 EAST WILLCOX DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-8131, FAX: (520) 458-0422, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0024, LICENSE: OTC0361, NAME: COCONINO COUNTY PUBLIC HEALTH SERVICES DISTRICT, LEGALLY: COCONINO COUNTY PUBLIC HEALTH SERVICES DISTRICT, ADDRESS: 2625 NORTH KING STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 679-7222, FAX: (928) 679-7351, CAPACITY: 0, COUNTY: COCONINO TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0049, LICENSE: OTC0268, NAME: CONCENTRA MEDICAL CENTER-WEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-WEST, ADDRESS: 3532 WEST THOMAS ROAD, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 272-7662, FAX: (602) 269-2417, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2000, LICENSE: OTC2699, NAME: FOOTHILLS WALK-IN MEDICAL CARE & URGENT CARE, LEGALLY: FOOTHILLS WALK-IN MEDICAL CARE & URGENT CARE, ADDRESS: 11274 SOUTH FORTUNA ROAD, SUITE I-4, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 345-2150, FAX: (928) 345-2151, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1913, LICENSE: , NAME: VALLEY VIEW MEDICAL COMPLEX, LEGALLY: VALLEY VIEW MEDICAL COMPLEX, ADDRESS: 5300 SOUTH HIGHWAY 95, SUITE J, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-7252, FAX: (760) 788-7828, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1961, LICENSE: NONE, NAME: HOPI DIALYSIS CENTER, LEGALLY: TRC-FOUR CORNERS DIALYSIS CENTER, ADDRESS: HIGHWAY 264, MILE POST 388, CITY: POLACCA, STATE: AZ, ZIP: 86042, PHONE: (928) 737-5490, FAX: (928) 737-5497, CAPACITY: 0, COUNTY: NAVAJO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2063, LICENSE: OTC5178, NAME: CANYONLANDS- SAFFORD, LEGALLY: CANYONLANDS- SAFFORD, ADDRESS: 2016 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-1500, FAX: (928) 428-1555, CAPACITY: 0, COUNTY: GRAHAM TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2076, LICENSE: OTC3001, NAME: PHYSIOTHERAPY ASSOCIATES, INC-CHANDLER, LEGALLY: PHYSIOTHERAPY ASSOCIATES, INC.-CHANDLER, ADDRESS: 655 SOUTH DOBSON ROAD, SUITE B-111, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 314-1553, FAX: (480) 314-5795, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0048, LICENSE: OTC0202, NAME: CONCENTRA MEDICAL CENTER-TEMPE (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-TEMPE, ADDRESS: 950 WEST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 968-7200, FAX: (480) 968-5100, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0080, LICENSE: OTC0295, NAME: CONCENTRA MEDICAL CENTERS-SOUTH (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS-SOUTH, ADDRESS: 4600 SOUTH PARK AVENUE, SUITE 5 & 6, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 889-9574, FAX: (520) 889-5072, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0106, LICENSE: , NAME: CHANDLER FAMILY HEALTH CENTER, LEGALLY: CHANDLER FAMILY HEALTH CENTER, ADDRESS: 811 SOUTH HAMILTON, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 344-6100, FAX: (480) 344-6101, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0107, LICENSE: , NAME: EL MIRAGE FAMILY HEALTH CENTER, LEGALLY: EL MIRAGE FAMILY HEALTH CENTER, ADDRESS: 12428 WEST THUNDERBIRD ROAD, CITY: EL MIRAGE, STATE: AZ, ZIP: 85335, PHONE: (623) 344-6500, FAX: (623) 344-6850, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0109, LICENSE: , NAME: GUADALUPE FAMILY HEALTH CENTER, LEGALLY: GUADALUPE FAMILY HEALTH CENTER, ADDRESS: 5825 EAST CALLE GUADALUPE ROAD, CITY: GUADALUPE, STATE: AZ, ZIP: 85283, PHONE: (480) 344-6000, FAX: (602) 344-0937, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0321, LICENSE: OTC0498, NAME: CHILDREN'S CLINIC FOR REHABILITATIVE SERVICES, LEGALLY: CHILDREN'S CLINIC FOR REHABILITATIVE SERVICES, ADDRESS: 2600 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5437, FAX: (520) 324-3129, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0329, LICENSE: OTC0442, NAME: GREENLEE COUNTY HEALTH DEPARTMENT-DUNCAN ANNEX, LEGALLY: GREENLEE COUNTY HEALTH DEPARTMENT/DUNCAN ANNEX, ADDRESS: 1684 FAIRGOUNDS ROAD, CITY: DUNCAN, STATE: AZ, ZIP: 85534, PHONE: (928) 359-2866, FAX: (928) 359-9068, CAPACITY: 0, COUNTY: GREENLEE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0333, LICENSE: OTC3925, NAME: CONCENTRA MED CTR-AIRPORT SKY HARBOR (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS AIRPORT, ADDRESS: 1818 EAST SKY HARBOR CIRCLE N, BLDG 2, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 244-9500, FAX: (602) 244-9543, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0401, LICENSE: OTC0472, NAME: CONCENTRA MEDICAL CENTER-METRO (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER - METRO, ADDRESS: 12808 NORTH BLACK CANYON HIGHWAY, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 375-1155, FAX: (602) 866-9169, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0493, LICENSE: OTC0557, NAME: CONCENTRA MEDICAL CENTER - SOUTHWEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER - SOUTHWEST, ADDRESS: 5340 WEST BUCKEYE ROAD, SUITE 3, CITY: PHOENIX, STATE: AZ, ZIP: 85043, PHONE: (602) 233-2117, FAX: (602) 484-7930, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0675, LICENSE: OTC0788, NAME: EL RIO SOUTHWEST HEALTH CENTER, LEGALLY: EL RIO SOUTHWEST HEALTH CENTER, ADDRESS: 1500 WEST COMMERCE COURT, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 746-8888, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0721, LICENSE: , NAME: CARONDELET ST MARY'S IMAGING CENTER, LEGALLY: CARONDELET ST. MARY'S IMAGING CENTER, ADDRESS: 395 NORTH SILVERBELL ROAD, SUITE 185, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 872-6900, FAX: (520) 872-2999, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0765, LICENSE: OTC4563, NAME: SELECT PHYSICAL THERAPY-GLENDALE (036560), LEGALLY: SELECT PHYSICAL THERAPY-GLENDALE, ADDRESS: 4344 WEST BELL ROAD, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 548-9882, FAX: (602) 548-0228, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1275, LICENSE: OTC1290, NAME: EXPRESSCARE (URGENT CARE CENTER), LEGALLY: EXPRESSCARE, ADDRESS: 2034 SOUTH ALMA SCHOOL ROAD, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 831-0150, FAX: (480) 839-3492, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1330, LICENSE: OTC0919, NAME: CONCENTRA MEDICAL CENTER-MESA (URGENT CARE CENTER), LEGALLY: CONCENTRA MEDICAL CENTER-MESA, ADDRESS: 1710 WEST SOUTHERN, SUITE B1, B2 & B3, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 644-7900, FAX: (480) 644-7800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1759, LICENSE: OTC4847, NAME: CONCENTRA MEDICAL CENTER - FLAGSTAFF (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-FLAGSTAFF, ADDRESS: 1110 EAST ROUTE 66, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-9695, FAX: (928) 773-0208, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1762, LICENSE: OTC2401, NAME: FMC DIALYSIS SERVICES PALM VALLEY, LEGALLY: FMC DIALYSIS SERVICES PALM VALLEY, ADDRESS: 13657 WEST MCDOWELL ROAD, SUITE 106, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 536-1096, FAX: (623) 536-1143, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED1876, LICENSE: OTC5053, NAME: VITAL CARE REHABILITATION, LEGALLY: VITAL CARE REHABILITATION, ADDRESS: 19082 R H JOHNSON BOULEVARD C, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 544-0300, FAX: (623) 544-0239, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1911, LICENSE: OTC4570, NAME: SELECT PHYSICAL THERAPY-PEORIA (036560), LEGALLY: SELECT PHYSICAL THERAPY-PEORIA, ADDRESS: 9401 WEST THUNDERBIRD, SUITE 190, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 977-5451, FAX: (623) 977-6457, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037016, LICENSE: HHA0018, NAME: INTERIM HEALTHCARE, LEGALLY: INTERIM HEALTHCARE, ADDRESS: 5055 EAST BROADWAY, SUITE D-104, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 747-1800, FAX: (520) 747-0138, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037130, LICENSE: HHA5330, NAME: BAYADA HOME HEALTH CARE INC, LEGALLY: BAYADA HOME HEALTH CARE INC, ADDRESS: 5700 EAST PIMA STREET, SUITE C, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 296-2311, FAX: (520) 323-1107, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1816, LICENSE: OTC2527, NAME: KINGMAN KIDNEY CLINIC, LEGALLY: KINGMAN KIDNEY CLINIC, INC, ADDRESS: 4055 STOCKTON HILL ROAD, SUITE 15-17, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 692-6500, FAX: (928) 692-6555, CAPACITY: 0, COUNTY: MOHAVE TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED0851, LICENSE: OTC4898, NAME: PACIFIC MOBILE DIAGNOSTICS, LEGALLY: PACIFIC MOBILE DIAGNOSTICS, ADDRESS: 615 EAST PALO VERDE DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 249-4790, FAX: (480) 829-3875, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0540, LICENSE: OTC3939, NAME: PAYSON CARE CENTER OUTPATIENT REHABILITATION, LEGALLY: PAYSON CARE CENTER OUTPATIENT REHABILITATION, ADDRESS: 107 EAST LONE PINE DRIVE, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-6896, FAX: (928) 474-6997, CAPACITY: 0, COUNTY: GILA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1720, LICENSE: NONE, NAME: KAYENTA DIALYSIS FACILITY, LEGALLY: KAYENTA DIALYSIS FACILITY, ADDRESS: HIGHWAY 163, CITY: KAYENTA, STATE: AZ, ZIP: 86033, PHONE: (928) 697-8193, FAX: (928) 697-8195, CAPACITY: 0, COUNTY: NAVAJO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1721, LICENSE: NONE, NAME: BMA PARKER DIALYSIS CENTER, LEGALLY: BMA PARKER DIALYSIS CENTER, ADDRESS: ROUTE 1 AGENCY ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-9838, FAX: (928) 758-7470, CAPACITY: 0, COUNTY: LA PAZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0485, LICENSE: OSC0070, NAME: MAYO CLINIC AMBULATORY SURGERY CENTER, LEGALLY: MAYO CLINIC AMBULATORY SURGERY CENTER, ADDRESS: 13400 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85259, PHONE: (480) 301-8000, FAX: (480) 301-8367, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1293, LICENSE: NONE, NAME: NAES SURGERY CENTER, LEGALLY: NAES SURGERY CENTER, ADDRESS: 900 NORTH SAN FRANCISCO, SUITE 5, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-7000, FAX: (928) 779-0130, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1332, LICENSE: NONE, NAME: PRESCOTT EYE CARE AND SURGERY, LEGALLY: PRESCOTT EYE CARE & SURGERY, ADDRESS: 3775 CROSSINGS DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-9200, FAX: (928) 771-8107, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0570, LICENSE: OTC0678, NAME: PLANNED PARENTHOOD - CHANDLER, LEGALLY: PLANNED PARENTHOOD - CHANDLER, ADDRESS: 610 NORTH ALMA SCHOOL ROAD, SUITE 48, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (602) 263-2237, FAX: (602) 604-0159, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1790, LICENSE: OTC2828, NAME: MOUNTAIN VIEW REHAB CENTER, LEGALLY: MOUNTAIN VIEW REHABILITATION CENTER, ADDRESS: 1313 WEST MAGEE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 797-2600, FAX: (520) 797-3100, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2054, LICENSE: OTC2862, NAME: LOWELL ELEMENTARY SCHOOL BASED HEALTH CENTER, LEGALLY: LOWELL ELEMENTARY SCHOOL BASED HEALTH CENTER, ADDRESS: 1121 SOUTH 3RD AVENUE, NURSE'S OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2039, LICENSE: OTC2880, NAME: DYNAMITE CREEK MEDICAL CENTER, LEGALLY: DYNAMITE CREEK MEDICAL CENTER, ADDRESS: 4712 EAST DYNAMITE BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (480) 342-8711, FAX: (602) 342-7077, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1882, LICENSE: OTC2909, NAME: INSIGHT IMAGING-THOMAS MRI, LEGALLY: INSIGHT IMAGING-THOMAS MRI, ADDRESS: 2921 NORTH 18TH PLACE, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 285-1522, FAX: (602) 241-0009, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1881, LICENSE: OTC2910, NAME: INSIGHT IMAGING-THOMAS ROAD, LEGALLY: INSIGHT IMAGING-THOMAS ROAD, ADDRESS: 1848 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 265-0460, FAX: (866) 225-6977, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1883, LICENSE: OTC2890, NAME: INSIGHT IMAGING-COUNTRY CLUB, LEGALLY: INSIGHT IMAGING-COUNTRY CLUB, ADDRESS: 1940 SOUTH COUNTRY CLUB DRIVE- SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 730-5300, FAX: (480) 756-2440, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1880, LICENSE: OTC4312, NAME: INSIGHT IMAGING-WEST THUNDERBIRD, LEGALLY: INSIGHT IMAGING-WEST THUNDERBIRD, ADDRESS: 9139 WEST THUNDERBIRD ROAD, SUITE 112, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 875-1637, FAX: (623) 875-1935, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1879, LICENSE: OTC2976, NAME: INSIGHT IMAGING-CAMELBACK, LEGALLY: INSIGHT IMAGING-CAMELBACK, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 401, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 274-9811, FAX: (602) 274-8148, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2025, LICENSE: OTC5012, NAME: PHYSIOTHERAPY ASSOCIATES - PARADISE VALLEY, LEGALLY: PHYSIOTHERAPY ASSOCIATES - PARADISE VALLEY, ADDRESS: 20830 NORTH TATUM BOULEVARD, SUITE 115, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 923-6750, FAX: (602) 923-6804, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1751, LICENSE: HHA2914, NAME: NNI HOME CARE SERVICES (SUBUNIT), LEGALLY: NNI HOME CARE SERVICES, ADDRESS: 624 NORTH HUMPHREYS, SUITE A, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 556-0755, FAX: (928) 556-0625, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1853, LICENSE: , NAME: PHOENIX CHILDREN'S HOSP OUTPATIENT SPECIALTY CARE, LEGALLY: PHOENIX CHILDREN'S HOSPITAL OUTPATIENT SPECIALITY CARE CENTER SCOTTSDALE, ADDRESS: 10210 NORTH 92ND STREET SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 314-1144, FAX: (602) 546-0392, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0028, LICENSE: OTC0127, NAME: LAKE POWELL MEDICAL CENTER, LEGALLY: LAKE POWELL MEDICAL CENTER, ADDRESS: 467 VISTA AVENUE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-8123, FAX: (928) 645-3862, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0055, LICENSE: OTC0195, NAME: PLANNED PARENTHOOD - NORTHEAST, LEGALLY: PLANNED PARENTHOOD - NORTHEAST CLINIC, ADDRESS: 3131 EAST THUNDERBIRD ROAD, SUITE 48, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 996-1897, FAX: (602) 953-8052, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0066, LICENSE: OTC0110, NAME: PHOENIX ARTIFICIAL KIDNEY CENTER, LEGALLY: PHOENIX ARTIFICIAL KIDNEY CENTER, ADDRESS: 13090 NORTH 94TH DRIVE, SUITE 100, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 974-5851, FAX: (623) 972-8156, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0094, LICENSE: OTC5141, NAME: PLANNED PARENTHOOD - YAVAPAI HEALTH CENTER, LEGALLY: PLANNED PARENTHOOD - YAVAPAI HEALTH CENTER, ADDRESS: 7750 EAST FLORENTINE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 776-0421, FAX: (928) 776-4145, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0111, LICENSE: , NAME: MESA FAMILY HEALTH CENTER, LEGALLY: MESA FAMILY HEALTH CENTER, ADDRESS: 59 SOUTH HIBBERT, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 344-6200, FAX: (480) 344-6201, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0138, LICENSE: OTC0397, NAME: PLANNED PARENTHOOD - SCOTTSDALE, LEGALLY: PLANNED PARENTHOOD - SCOTTSDALE, ADDRESS: 7901 EAST THOMAS ROAD, SUITE 106, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-0049, FAX: (480) 429-2326, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0319, LICENSE: OTC4144, NAME: PLANNED PARENTHOOD - TEMPE, LEGALLY: PLANNED PARENTHOOD - TEMPE, ADDRESS: 1250 EAST APACHE BOULEVARD, SUITE 108, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 966-4728, FAX: (480) 921-8712, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0376, LICENSE: , NAME: MCDOWELL HEALTH CARE CENTER, LEGALLY: MCDOWELL HEALTH CARE CENTER, ADDRESS: 1144 EAST MCDOWELL ROAD, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 344-6557, FAX: (602) 344-6551, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0406, LICENSE: OTC4194, NAME: NATIVE HEALTH, LEGALLY: NATIVE AMERICAN, ADDRESS: 4520 NORTH CENTRAL AVENUE, SUITE 350, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-5262, FAX: (602) 270-5390, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0472, LICENSE: , NAME: MARYVALE FAMILY HEALTH CENTER, LEGALLY: MARYVALE FAMILY HEALTH CENTER, ADDRESS: 4011 NORTH 51ST AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 344-6900, FAX: (623) 344-6901, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0499, LICENSE: OTC3991, NAME: VIBRANTCARE OUTPATIENT REHABILITATION WEST INC, LEGALLY: VIBRANTCARE OUTPATIENT REHABILITATION WEST INC, ADDRESS: 6246 EAST PIMA STREET, SUITE 160, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 721-0319, FAX: (520) 733-5810, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0764, LICENSE: OTC4306, NAME: NORTH COUNTRY HEALTHCARE-FLAGSTAFF(URGENT CARE), LEGALLY: NORTH COUNTRY HEALTHCARE-FLAGSTAFF, ADDRESS: 2920 NORTH FOURTH STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 213-6100, FAX: (928) 774-6687, CAPACITY: 0, COUNTY: COCONINO TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED0774, LICENSE: OTC0810, NAME: LA PAZ MEDICAL SERVICES QUARTZSITE, LEGALLY: LA PAZ MEDICAL SERVICES QUARTZSITE, ADDRESS: 150 EAST TYSON ROAD, CITY: QUARTZSITE, STATE: AZ, ZIP: 85359, PHONE: (928) 927-8747, FAX: (928) 927-8748, CAPACITY: 0, COUNTY: LA PAZ TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0792, LICENSE: OTC3869, NAME: PHYSIOTHERAPY ASSOCIATES-NORTH SCOTTSDALE, LEGALLY: PHYSIOTHERAPY ASSOCIATES-NORTH SCOTTSDALE, ADDRESS: 9917 NORTH 95TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 314-1553, FAX: (480) 314-5795, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0796, LICENSE: OTC0815, NAME: BANNER HLTH SCH-BASED HLTH CTR OF MESA AT MESA EDU, LEGALLY: BANNER HEALTH SCHOOL-BASED HEALTH OF MESA AT MESA EDUCATION CENTER, ADDRESS: 855 WEST 8TH AVENUE, NURSE'S OFFICE, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 472-1070, FAX: (480) 461-2928, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0853, LICENSE: NONE, NAME: MARICOPA MEDICAL CENTER - ESRD, LEGALLY: MARICOPA MEDICAL CENTER - ESRD, ADDRESS: 2601 EAST ROOSEVELT, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 344-1601, FAX: (602) 344-1604, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1107, LICENSE: OTC3914, NAME: PHYSIOTHERAPY ASSOCIATES-SCOTTSDALE, LEGALLY: PHYSIOTHERAPY ASSOCIATES - SCOTTSDALE, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 990-1379, FAX: (480) 423-8458, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1184, LICENSE: OTC4629, NAME: COMMUNITY HEALTH CENTER, LEGALLY: COMMUNITY HEALTH CENTER, ADDRESS: 9201 NORTH 5TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 331-5779, FAX: (602) 331-7855, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1220, LICENSE: OTC1138, NAME: NOAH PALOMINO CLINIC, LEGALLY: NOAH PALOMINO CLINIC, ADDRESS: 15833 NORTH 29TH STREET, ROOM 121, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 449-2811, FAX: (602) 449-2812, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1271, LICENSE: OTC1363, NAME: NORTH COUNTRY HEALTHCARE-ASH FORK, LEGALLY: NORTH COUNTRY HEALTHCARE-ASH FORK, ADDRESS: 112 PARK AVENUE, CITY: ASH FORK, STATE: AZ, ZIP: 86320, PHONE: (928) 637-2305, FAX: (928) 637-2343, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1279, LICENSE: OTC3797, NAME: NORTH COUNTRY HEALTHCARE-SELIGMAN, LEGALLY: NORTH COUNTRY HEALTHCARE-SELIGMAN, ADDRESS: 22585 WEST OAK STREET, CITY: SELIGMAN, STATE: AZ, ZIP: 86337, PHONE: (928) 422-4017, FAX: (928) 422-4018, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1734, LICENSE: , NAME: JOHN C LINCOLN OUTPATIENT MEDICAL IMAGING - TATUM, LEGALLY: JOHN C. LINCOLN OUTPATIENT MEDICAL IMAGING - TATUM, ADDRESS: 18404 NORTH TATUM BOULEVARD, SUITE103, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 485-7482, FAX: (623) 485-7497, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1803, LICENSE: OTC3624, NAME: NOAH PAIUTE HEALTH CENTER, LEGALLY: NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, ADDRESS: 6535 EAST OSBORN ROAD, BUILDING 8, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 312-0007, FAX: (480) 949-0570, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1806, LICENSE: OTC3787, NAME: VIBRANTCARE OUTPATIENT REHAB-DEER VALLEY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-DEER VALLEY, ADDRESS: 2730 WEST AGUA FRIA FREEWAY, SUITE 202, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 434-0778, FAX: (623) 434-0779, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1856, LICENSE: OTC4520, NAME: VIBRANTCARE OUTPATIENT REHAB-PEORIA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-PEORIA, ADDRESS: 9139 WEST THUNDERBIRD ROAD, SUITE 225, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 972-1575, FAX: (623) 972-0914, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1966, LICENSE: , NAME: AVONDALE FAMILY HEALTH CENTER, LEGALLY: AVONDALE FAMILY HEALTH CENTER, ADDRESS: 950 EAST VAN BUREN, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 344-6800, FAX: (623) 344-6801, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0040, LICENSE: OTC4192, NAME: RENAL CARE GROUP-EAST VALLEY DIALYSIS, LEGALLY: RENAL CARE GROUP - EAST VALLEY DIALYSIS, ADDRESS: 135 SOUTH POWER ROAD, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 985-4911, FAX: (480) 832-1609, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0063, LICENSE: OTC0184, NAME: BMA SOUTH PHOENIX, LEGALLY: BMA SOUTH PHOENIX, ADDRESS: 1021 SOUTH 7TH AVENUE, SUITE 108, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 253-1954, FAX: (602) 253-1958, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0139, LICENSE: OTC3997, NAME: PRESCOTT DIALYSIS, LEGALLY: PRESCOTT DIALYSIS, ADDRESS: 980 WILLOW CREEK ROAD, SUITE 101, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 776-9459, FAX: (928) 776-8061, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0432, LICENSE: OTC3900, NAME: RENAL CARE GROUP-HOME DIALYSIS OF MESA, LEGALLY: RENAL CARE GROUP-HOME DIALYSIS OF MESA, ADDRESS: 1337 SOUTH GILBERT ROAD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-9222, FAX: (480) 926-9520, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0519, LICENSE: OTC0603, NAME: FMC DIALYSIS SERVICES OF SOUTH MOUNTAIN, LEGALLY: FMC DIALYSIS SERVICES OF SOUTH MOUNTAIN, ADDRESS: 26 EAST BASELINE ROAD, SUITE 142, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 268-8158, FAX: (602) 268-8312, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0593, LICENSE: OTC5183, NAME: DSI MESA RENAL CENTER, LEGALLY: DSI MESA RENAL CENTER, ADDRESS: 1337 SOUTH GILBERT ROAD, SUITE 109, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-1906, FAX: (480) 926-1909, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0802, LICENSE: OTC4044, NAME: RENAL CARE GROUP-SCOTTSDALE, LEGALLY: RENAL CARE GROUP - SCOTTSDALE, ADDRESS: 1495 NORTH HAYDEN, SUITE D1-D4, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 607-2953, FAX: (480) 607-2921, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1640, LICENSE: OTC4008, NAME: RENAL CARE GROUP-APACHE JUNCTION DIALYSIS, LEGALLY: RENAL CARE GROUP APACHE JUNCTION DIALYSIS, ADDRESS: 11540 EAST UNIVERSITY, SUITE 109, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 357-5572, FAX: (480) 357-0677, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1652, LICENSE: OTC4043, NAME: RENAL CARE GROUP-SUN LAKES DIALYSIS, LEGALLY: RENAL CARE GROUP-SUN LAKES DIALYSIS, ADDRESS: 9666 EAST RIGGS ROAD, SUITE 143, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 883-1301, FAX: (480) 883-1308, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1723, LICENSE: NONE, NAME: TUBA CITY DIALYSIS FACILITY, LEGALLY: TUBA CITY DIALYSIS FACILITY, ADDRESS: 500 EDGEWATER DRIVE, CITY: TUBA CITY, STATE: AZ, ZIP: 86045, PHONE: (928) 283-4525, FAX: (928) 283-4801, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1821, LICENSE: NONE, NAME: RENAL CARE GROUP-WHITERIVER, LEGALLY: RENAL CARE GROUP ARIZONA, LLC, ADDRESS: 102 WEST HOSPITAL DRIVE, CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (928) 338-1498, FAX: (928) 338-4299, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0844, LICENSE: NONE, NAME: SURGI-TECH CENTERS INC, LEGALLY: SURGI-TECH CENTERS, ADDRESS: 7301 EAST 2ND STREET SUITE 202, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 994-5977, FAX: (480) 990-9397, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1290, LICENSE: NONE, NAME: SOUTHWESTERN EYE CENTER-LHC, LEGALLY: SOUTHWESTERN EYE CENTER-LAKE HAVASU CITY, ADDRESS: 2005 INJO DRIVE, CITY: LAKE HAVASU, STATE: AZ, ZIP: 86403, PHONE: (620) 892-8400, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1347, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER P, LEGALLY: SOUTHWESTERN EYE SURGICENTER-PRESCOTT, ADDRESS: 1600 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86303, PHONE: (928) 776-7477, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0112, LICENSE: , NAME: SEVENTH AVENUE FAMILY HEALTH CENTER, LEGALLY: SEVENTH AVENUE FAMILY HEALTH CARE CENTER, ADDRESS: 1205 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1492, LICENSE: OTC1780, NAME: JCL MEDICAL OFFICES AT TATUM, LEGALLY: JCL MEDICAL OFFICES AT TATUM, ADDRESS: 18404 NORTH TATUM BOULEVARD, SUITE 101 &102, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 992-1900, FAX: (623) 485-7450, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0018, LICENSE: OTC4976, NAME: NORTH COUNTRY HEALTHCARE INC, LEGALLY: NORTH COUNTRY HEALTHCARE INC., ADDRESS: 301 SOUTH 7TH STREET, CITY: WILLIAMS, STATE: AZ, ZIP: 86046, PHONE: (928) 635-4441, FAX: (928) 635-4403, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1963, LICENSE: , NAME: THOMPSON PEAK OUTPT THERAPY & OCCUPATIONAL HLTH SV, LEGALLY: THOMPSON PEAK OUTPT THERAPY & OCCUPATIONAL HLTH SV, ADDRESS: 20201 N SCOTTSDALE HEALTHCARE DR, SUITE 135 & 140, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 324-7409, FAX: (480) 323-3510, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1738, LICENSE: , NAME: YRMC DEL WEBB OUTPATIENT CTR, LEGALLY: YRMC DEL E WEBB OUTPATIENT CENTER, ADDRESS: 3262 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5604, FAX: (928) 771-5631, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2044, LICENSE: OSC2894, NAME: SURGERY CENTER OF SCOTTSDALE, LEGALLY: SURGERY CENTER OF SCOTTSDALE, LLC, ADDRESS: 8962 EAST DESERT COVE AVENUE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 661-5232, FAX: (480) 661-5231, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2060, LICENSE: OTC2967, NAME: ST MICHAELS CLINIC, LEGALLY: ST. MICHAELS CLINIC, ADDRESS: 359 A WEST HIGHWAY 264, CITY: SAINT MICHAELS, STATE: AZ, ZIP: 86511, PHONE: (928) 810-3800, FAX: (928) 810-3801, CAPACITY: 0, COUNTY: APACHE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1869, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- ALVERNON, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ALVERNON CLINIC, THE, ADDRESS: 707 NORTH ALVERNON WAY, SUITE 203 & SUITE 205, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-8065, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0101, LICENSE: OTC0317, NAME: COCHISE HEALTH & SOCIAL SERVICES WILLCOX, LEGALLY: COCHISE HEALTH & SOCIAL SERVICES WILLCOX, ADDRESS: 450 SOUTH HASKELL, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-7100, FAX: (520) 384-0309, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0113, LICENSE: , NAME: SOUTH CENTRAL FAMILY HEALTH CARE, LEGALLY: SOUTH CENTRAL FAMILY HEALTH CARE CENTER, ADDRESS: 33 WEST TAMARISK, CITY: PHOENIX, STATE: AZ, ZIP: 85041, PHONE: (602) 344-6400, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0114, LICENSE: , NAME: SUNNYSLOPE FAMILY HEALTH CENTER, LEGALLY: SUNNYSLOPE FAMILY HEALTH CENTER, ADDRESS: 934 WEST HATCHER ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 344-6300, FAX: (480) 344-6301, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0127, LICENSE: OTC3512, NAME: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, LEGALLY: YAVAPAI COUNTY HEALTH DEPARTMENT, ADDRESS: 1090 COMMERCE DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 442-5966, FAX: (928) 771-3369, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0153, LICENSE: , NAME: SUNSET COMMUNITY HEALTH CENTER, LEGALLY: SUNSET COMMUNITY HEALTH CENTER, ADDRESS: 2060 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-4216, FAX: (928) 314-4355, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0419, LICENSE: OTC0497, NAME: SUNSET COMM HEALTH CENTER-PEDIATRIC (CLOSED), LEGALLY: SUNSET COMMUNITY HEALTH CENTER, INC-PEDIATRIC CLINIC, ADDRESS: 2435 SOUTH AVENUE A, SUITE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-5112, FAX: (928) 344-5766, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0494, LICENSE: OTC4014, NAME: SUNSET COMMUNITY HEALTH CENTER-SAN LUIS, LEGALLY: SUNSET COMMUNITY HEALTH CENTER - SAN LUIS, ADDRESS: 815 EAST JUAN SANCHEZ BOULEVARD, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-3822, FAX: (928) 627-3989, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0803, LICENSE: OTC5046, NAME: SCHC SCHOOL HEALTH PROGRAM CENTER RANCHO VIEJO, LEGALLY: SCHC SCHOOL HEALTH PROGRAM CENTER RANCHO VIEJO, ADDRESS: 930 SOUTH AVENUE C, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 819-8999, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0810, LICENSE: OTC4448, NAME: CIGNA SCOTTSDALE HEALTH CARE CENTER, LEGALLY: CIGNA SCOTTSDALE HEALTH CARE CENTER, ADDRESS: 7287 EAST EARLL DRIVE, BUILDING D, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0811, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER - SEDONA, LEGALLY: VERDE VALLEY MEDICAL CENTER - SEDONA, ADDRESS: 3700 WEST HIGHWAY 89A, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0819, LICENSE: OTC0046, NAME: SUNSET COMMUNITY HEALTH CENTER-SOMERTON, LEGALLY: SUNSET COMMUNITY HEALTH CENTER-SOMERTON, ADDRESS: 115 NORTH SOMERTON AVENUE, CITY: SOMERTON, STATE: AZ, ZIP: 85350, PHONE: (928) 627-2051, FAX: (928) 627-3857, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1491, LICENSE: OTC5045, NAME: SCHC SCHOOL HEALTH PRGM WELLTON/MOHAWK MOBILE UNIT, LEGALLY: SCHC SCHOOL HEALTH PRGM WELLTON/MOHAWK MOBILE UNIT, ADDRESS: 2060 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 819-8999, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1507, LICENSE: OTC5044, NAME: SCHC SCH HEALTH PROGRAM PECAN GROVE (SCHOOL BASED), LEGALLY: SCHC SCH HEALTH PROGRAM PECAN GROVE, ADDRESS: 600 SOUTH 21ST AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 819-8999, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1523, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- PANTANO, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- PANTANO CLINIC, THE, ADDRESS: 7901 EAST 22ND STREET, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 694-8428, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1548, LICENSE: OTC5043, NAME: SCHC SCHOOL HEALTH PROGRAM-SAN LUIS, LEGALLY: SCHC SCHOOL HEALTH PROGRAM-SAN LUIS, ADDRESS: 1245 NORTH MAIN STREET, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 819-8999, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1666, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- NORTH HI, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- NORTH HILLS CLINIC, THE, ADDRESS: 265 WEST INA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-8100, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2212, LICENSE: OTC5184, NAME: DSI PHOENIX SOUTH RENAL CENTER, LEGALLY: DSI PHOENIX SOUTH RENAL CENTER, ADDRESS: 4621 SOUTH CENTRAL, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 304-1977, FAX: (602) 304-1870, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2216, LICENSE: NONE, NAME: RENAL CARE GROUP - AK-CHIN, LEGALLY: RENAL CARE GROUP AK-CHIN, ADDRESS: 16536 NORTH MARICOPA ROAD, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-3120, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1696, LICENSE: HSPC2177, NAME: ODYSSEY HOSPICE HOUSE (031538), LEGALLY: ODYSSEY HOSPICE HOUSE, ADDRESS: 750 EAST FOOTHILLS DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 292-3955, FAX: (520) 292-3488, CAPACITY: 11, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0003, LICENSE: HSPC0003, NAME: HOSPICE OF YUMA, LEGALLY: HOSPICE OF YUMA, ADDRESS: 1824 SOUTH 8TH AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-2222, FAX: (928) 343-0688, CAPACITY: 0, COUNTY: YUMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0025, LICENSE: HSPC0018, NAME: HOSPICE OF THE VALLEY - CENTRAL, LEGALLY: HOSPICE OF THE VALLEY - CENTRAL, ADDRESS: 1510 EAST FLOWER STREET, BUILDING 2, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 287-7000, FAX: (602) 278-7007, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0647, LICENSE: HSPC0049, NAME: HOSPICE OF THE VALLEY GARDINER HOSPICE HOME, LEGALLY: HOSPICE OF THE VALLEY GARDINER HOSPICE HOME, ADDRESS: 1522 WEST MYRTLE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-9323, FAX: (602) 995-4153, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1593, LICENSE: HSPC1987, NAME: HEARTLAND HOSPICE SERVICES OF TUCSON, LEGALLY: HEARTLAND HOSPICE SERVICES OF TUCSON, ADDRESS: 3112 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-2790, FAX: (520) 325-2746, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0597, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - SEDONA, LEGALLY: PHYSICAL THERAPY CLINIC - SEDONA, ADDRESS: 35 DRY CREEK ROAD, SUITE 3, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 282-6775, FAX: (520) 773-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1834, LICENSE: HSPC2341, NAME: HOSPICE OF THE VALLEY SUN CITY PALLI INPA(031515), LEGALLY: HOSPICE OF THE VALLEY'S SUN CITY PALLIATIVE CARE UNIT INPATIENT, ADDRESS: 10323 WEST OLIVE AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 876-4520, FAX: (602) 933-3737, CAPACITY: 12, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2082, LICENSE: OTC4096, NAME: DUNCAN COMMUNITY HEALTH CLINIC, LEGALLY: DUNCAN COMMUNITY HEALTH CLINIC, ADDRESS: 227 MAIN STREET, CITY: DUNCAN, STATE: AZ, ZIP: 85534, PHONE: (928) 359-1380, FAX: (928) 359-1381, CAPACITY: 0, COUNTY: GREENLEE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2092, LICENSE: OTC2992, NAME: TUCSON SOUTH CENTRAL DIALYSIS, LEGALLY: TUCSON SOUTH CENTRAL DIALYSIS, ADDRESS: 2024 EAST IRVINGTON ROAD, SUITE 7, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (520) 573-0200, FAX: (520) 573-0210, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0480, LICENSE: HSPC0022, NAME: HOSPICE OF THE VALLEY - WEST, LEGALLY: HOSPICE OF THE VALLEY - WEST, ADDRESS: 9435 WEST PEORIA AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 583-4848, FAX: (623) 583-3285, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0710, LICENSE: HSPC5560, NAME: BANNER HOSPICE PHOENIX OFFICE, LEGALLY: BANNER HOSPICE PHOENIX OFFICE, ADDRESS: 202 EAST EARLL DRIVE, SUITE 160, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-0677, FAX: (602) 279-1085, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1401, LICENSE: HSPC5552, NAME: DR ALBERT ECKSTEIN CTR FOR PALLIATIVE CRE (031517), LEGALLY: DR. ALBERT ECHSTEIN CENTER FOR PALLIATIVE CARE INPATIENT, ADDRESS: 9808 NORTH 95TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 661-4500, FAX: (480) 661-6001, CAPACITY: 12, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1474, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - VILLAGE OF OAK CREEK, LEGALLY: PHYSICAL THERAPY CLINIC - VILLAGE OF OAK CREEK, ADDRESS: 6560 HIGHWAY 179, SUITES 118 & 120, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 282-8428, FAX: (928) 779-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1824, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - EAST FLAGSTAFF, LEGALLY: PHYSICAL THERAPY CLINIC - EAST FLAGSTAFF, ADDRESS: 7810 NORTH HIGHWAY 89, SUITE 280, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 552-8375, FAX: (928) 779-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED1718, LICENSE: NONE, NAME: SAGE OUTPATIENT CLINIC, LEGALLY: SAGE OUTPATIENT CLINIC, ADDRESS: PO BOX 457, HIGHWAY 264, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 755-3411, FAX: , CAPACITY: 0, COUNTY: APACHE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0001, LICENSE: HSPC0001, NAME: HOSPICE OF THE VALLEY EAST, LEGALLY: HOSPICE OF THE VALLEY EAST, ADDRESS: 2020 EAST WOODSIDE COURT, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 730-5980, FAX: (602) 730-6078, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED1065, LICENSE: FED ONLY, NAME: LA FRONTERA RESOURCE CENTER, LEGALLY: LA FRONTERA RESOURCE CENTER, ADDRESS: 502 WEST 29TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (620) 741-2351, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1655, LICENSE: OTC4335, NAME: PHYSIOTHERAPY ASSOCIATES-KINGMAN, LEGALLY: PHYSIOTHERAPY ASSOCIATES-KINGMAN, ADDRESS: 2120 AIRWAY AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 757-1211, FAX: (928) 757-8826, CAPACITY: 0, COUNTY: MOHAVE TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED1021, LICENSE: FED ONLY, NAME: TRI CITY BEHAVIORAL SERVICES,, LEGALLY: TRI CITY BEHAVIORAL SERVICES, INC, ADDRESS: 7816 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (480) 963-2281, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2097, LICENSE: OSC5588, NAME: SUNRISE AMBULATORY SURGICAL CENTER, LEGALLY: SUNRISE AMBULATORY SURGICAL CENTER, ADDRESS: 5448 SOUTH WHITE MOUNTAIN ROAD, SUITE 100, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 532-3010, FAX: (928) 532-1161, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2147, LICENSE: OTC3025, NAME: PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC, LEGALLY: PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC, ADDRESS: 3051 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-3336, FAX: (928) 772-1148, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1305, LICENSE: OTC1244, NAME: BMA RED MOUNTAIN DIALYSIS, LEGALLY: BMA RED MOUNTAIN DIALYSIS, ADDRESS: 1211 NORTH COUNTRY CLUB DRIVE, 4, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 833-7440, FAX: (480) 833-7764, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2108, LICENSE: HHA3024, NAME: ALWAYS BETTER CARE HOME HEALTH, LEGALLY: ALWAYS BETTER CARE HOME HEALTH, ADDRESS: 3650 SOUTH POINT CIRCLE, SUITE #116, CITY: LAUGHLIN, STATE: NV, ZIP: 89029, PHONE: (702) 298-0555, FAX: (702) 298-0577, CAPACITY: 0, COUNTY: CLARK TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2046, LICENSE: OTC4787, NAME: HRMC URGENT CARE CENTER, LEGALLY: HRMC URGENT CARE CENTER, ADDRESS: 45 CAPRI BOULEVARD, SUITE G, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 505-1030, FAX: (928) 505-1036, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1383, LICENSE: OTC5245, NAME: DESERT DIALYSIS, LEGALLY: DESERT DIALYSIS, ADDRESS: 13000 NORTH 103RD AVENUE, SUITE 66, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 583-3131, FAX: (623) 583-5414, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2072, LICENSE: OTC3000, NAME: SILVER CREEK MRI, LLC, LEGALLY: SILVER CREEK MRI, LLC, ADDRESS: 2735 SILVER CREEK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-4674, FAX: (928) 704-8867, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1185, LICENSE: OTC0660, NAME: AIMS URGENT CARE CENTER, LEGALLY: AIMS URGENT CARE CENTER, ADDRESS: 3636 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 757-3680, FAX: (928) 757-3614, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0323, LICENSE: OTC5003, NAME: VHS ARIZONA HEART INSTITUTE, LEGALLY: VHS ARIZONA HEART INSTITUTE, ADDRESS: 2632 NORTH 20TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 266-2200, FAX: (602) 240-6134, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2096, LICENSE: OTC3005, NAME: FMC DIALYSIS SERVICES OF GRANITE VALLEY, LEGALLY: FMC DIALYSIS SERVICES OF GRANITE VALLEY, ADDRESS: 14510 WEST SHUMWAY DRIVE, SUITE 100, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 546-2718, FAX: (623) 546-2827, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2146, LICENSE: OTC5395, NAME: CONCENTRA MEDICAL CENTERS - CENTRAL (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS - CENTRAL, ADDRESS: 7119 EAST BROADWAY BLVD, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 881-0050, FAX: (520) 795-8815, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0454, LICENSE: SH0187, NAME: HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN AZ, LEGALLY: HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN ARIZONA, ADDRESS: 1921 WEST HOSPITAL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-2800, FAX: (520) 742-2639, CAPACITY: 60, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2144, LICENSE: OSC3020, NAME: ADOBE SURGERY CENTER, LEGALLY: ADOBE SURGERY CENTER, ADDRESS: 2585 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 721-2728, FAX: (520) 721-0179, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2135, LICENSE: HSPC3040, NAME: KINGMAN REGIONAL MEDICAL CENTER HOSPICE, LEGALLY: KINGMAN REGIONAL MEDICAL CENTER HOSPICE, ADDRESS: 2202 STOCKTON HILL ROAD, SUITE 200, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 692-4680, FAX: (928) 692-2733, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2112, LICENSE: OTC5161, NAME: MOUNTAIN PARK HEALTH CENTER-MARYVALE CLINIC, LEGALLY: MOUNTAIN PARK HEALTH CENTER-MARYVALE CLINIC, ADDRESS: 6601 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 323-3344, FAX: (602) 323-3496, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2153, LICENSE: HHA3071, NAME: ANGELS CARE HOME HEALTH OF ARIZONA, LEGALLY: ANGELS CARE HOME HEALTH OF ARIZONA, ADDRESS: 301 SOUTH WILLARD, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-8890, FAX: (928) 649-8891, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED1724, LICENSE: SH3047, NAME: SELECT SPECIALTY HOSPITAL ARIZONA, LEGALLY: SELECT SPECIALTY HOSPITAL ARIZONA INC., ADDRESS: 7400 EAST OSBORN RD, 3RD FLOOR, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-6040, FAX: (480) 882-6041, CAPACITY: 29, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2161, LICENSE: OTC4232, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA, LEGALLY: 21ST CENTURY ONCOLOGY OF ARIZONA, ADDRESS: 7340 EAST THOMAS ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 945-6896, FAX: (480) 945-7287, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1948, LICENSE: OTC2674, NAME: ADVANCED URGENT CARE-THOMAS, LEGALLY: ADVANCED URGENT CARE-THOMAS, ADDRESS: 3302 WEST THOMAS ROAD, SUITE #10, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 233-2900, FAX: (602) 233-3897, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1570, LICENSE: OTC4111, NAME: ACACIA WOMEN'S CENTER, LEGALLY: ACACIA WOMEN'S CENTER, ADDRESS: 1615 EAST OSBORN ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 462-5559, FAX: (602) 667-6608, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0545, LICENSE: OTC5561, NAME: CIGNA MEDICAL GROUP PHOENIX CENTRAL MULTI SPLTY C, LEGALLY: CIGNA MEDICAL GROUP PHOENIX CENTRAL MULTI SPLTY CENTER, ADDRESS: 3003 NORTH THIRD STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (623) 277-1131, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1986, LICENSE: OTC2678, NAME: ADVANCED URGENT CARE-OAK, LEGALLY: ADVANCED URGENT CARE-OAK, ADDRESS: 2301 NORTH 44TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 808-8786, FAX: (602) 808-8704, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2122, LICENSE: OTC3049, NAME: VIRGINIA G PIPER CANCER CENTER, LEGALLY: VIRGINIA G. PIPER CANCER CENTER, ADDRESS: 10460 NORTH 92ND STREET, SUITE 206, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-1250, FAX: (480) 323-1259, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED2151, LICENSE: SH3050, NAME: SELECT SPECIALTY HOSPITAL-ARIZONA-PHOENIX (032005), LEGALLY: SELECT SPECIALTY HOSPITAL-ARIZONA-PHOENIX DOWNTOWN, ADDRESS: 1012 EAST WILETTA, 4TH FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-6073, FAX: (602) 406-6891, CAPACITY: 33, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2111, LICENSE: OSC3051, NAME: SCOTTSDALE ENDOSCOPY CENTER, LEGALLY: SCOTTSDALE ENDOSCOPY CENTER,, ADDRESS: 9787 NORTH 91ST STREET, SUITE 103, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 657-0889, FAX: (480) 657-9277, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1985, LICENSE: OTC2677, NAME: ADVANCED URGENT CARE-INDIAN SCHOOL, LEGALLY: ADVANCED URGENT CARE-INDIAN SCHOOL, ADDRESS: 8260 WEST INDIAN SCHOOL ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85033, PHONE: (623) 846-7122, FAX: (623) 846-7027, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2167, LICENSE: , NAME: FOOTHILLS IMAGING CENTER, LEGALLY: FOOTHILLS IMAGING CENTER, ADDRESS: 11142 SOUTH SCOTTSDALE DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 305-6211, FAX: (928) 305-2210, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2154, LICENSE: OTC3057, NAME: CHIRICAHUA COMM HC - JENNIFER GINGER RYAN CLINIC, LEGALLY: CHIRICAHUA COMMUNITY HEALTH CENTERS - JENNIFER GINGER RYAN CLINIC, ADDRESS: 1100 F AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-3285, FAX: (520) 642-3591, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2141, LICENSE: OTC3058, NAME: BEATITUDES CAMPUS OUTPATIENT REHAB, LEGALLY: BEATITUDES OUTPATIENT REHABILITATION, ADDRESS: 1712 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-6153, FAX: (602) 995-0704, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2136, LICENSE: OTC3068, NAME: PRIORITY MEDICAL CENTER, LEGALLY: PRIORITY MEDICAL CENTER, ADDRESS: 4340 WEST MCDOWELL ROAD, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 272-5289, FAX: (602) 272-8634, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2201, LICENSE: OSC4349, NAME: PREMIER SURGERY CENTER OF TUCSON, LEGALLY: PREMIER SURGERY CENTER OF TUCSON, ADDRESS: 310 NORTH WILMOT ROAD, SUITE 309, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 296-7080, FAX: (520) 290-8350, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2211, LICENSE: , NAME: ST JOSEPHS PEPPERTREE OUTPATIENT FACILITY, LEGALLY: ST JOSEPHS PEPPERTREE OUTPATIENT FACILITY, ADDRESS: 2927 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3153, FAX: (602) 406-4176, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2187, LICENSE: OSC3188, NAME: SURGERY CENTER OF CASA GRANDE, LEGALLY: THE SURGERY CENTER OF CASA GRANDE, ADDRESS: 1760 EAST FLORENCE BOULEVARD, BUILDING 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-2300, FAX: (520) 423-2582, CAPACITY: 0, COUNTY: PINAL TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2208, LICENSE: , NAME: SUPERIOR CLINIC, LEGALLY: SUPERIOR CLINIC, ADDRESS: 1134 W HIGHWAY 60, CITY: SUPERIOR, STATE: AZ, ZIP: 85273, PHONE: (520) 689-2423, FAX: (520) 689-5237, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2215, LICENSE: OTC3084, NAME: PROGRESSIONS THERAPY AT COPPER MOUNTAIN INN, LEGALLY: PROGRESSIONS THERAPY AT COPPER MOUNTAIN INN, ADDRESS: 1100 MONROE STREET, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-5721, FAX: (928) 425-3745, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2116, LICENSE: OTC3090, NAME: COOK HEALTH CARE REHAB CENTER, LEGALLY: COOK HEALTH CARE REHAB CENTER, ADDRESS: 11527 WEST PEORIA AVENUE, CITY: YOUNGTOWN, STATE: AZ, ZIP: 85363, PHONE: (623) 933-4683, FAX: (623) 972-4993, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2127, LICENSE: OTC3093, NAME: INNOVATIVE SENIOR CARE AT FREEDOM PLAZA PEORIA, LEGALLY: INNOVATIVE SENIOR CARE AT FREEDOM PLAZA PEORIA, ADDRESS: 13373 PLAZA DEL RIO BOULEVARD, 2ND FLOOR- THERAPY, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-2496, FAX: (623) 876-2460, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2200, LICENSE: OTC3083, NAME: NEXTCARE URGENT CARE-SOUTHERN, LEGALLY: NEXTCARE URGENT CARE-SOUTHERN, ADDRESS: 2080 WEST SOUTHERN AVENUE, SUITE A-1, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85120, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2104, LICENSE: NONE, NAME: ORTHOPEDIC CLINIC ASSOC, THE, LEGALLY: ORTHOPEDIC CLINIC ASSOCIATION, PC, THE, ADDRESS: 9377 EAST BELL, SUITE 231, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (602) 277-6211, FAX: (602) 277-1829, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2113, LICENSE: NONE, NAME: SOUTHWESTERN EYE YUMA, LEGALLY: SOUTHWESTERN EYE CENTER, ADDRESS: 2149 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (480) 833-9100, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2172, LICENSE: OSC3777, NAME: UNION HILLS SURGERY CENTER, LEGALLY: UNION HILLS SURGERY CENTER LP, ADDRESS: 18301 NORTH 79TH AVENUE, SUITE E150, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 487-7500, FAX: (623) 776-8800, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2169, LICENSE: NONE, NAME: PHOENIX CHILDREN'S DIALYSIS CENTER, LEGALLY: PHOENIX CHILDREN'S HOSPITAL - DIALYSIS CENTER, ADDRESS: 1920 EAST CAMBRIDGE, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 546-4722, FAX: (602) 546-1965, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2220, LICENSE: OSC3134, NAME: DESERT PAIN INSTITUTE, THE, LEGALLY: DESERT PAIN INSTITUTE, THE, ADDRESS: 6309 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 325-3801, FAX: (480) 344-1600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2230, LICENSE: OTC3139, NAME: DESERT PAIN INSTITUTE AQUATICS & REHAB SVCS, LEGALLY: DESERT PAIN INSTITUTE AQUATICS & REHAB SERVICES, ADDRESS: 6309 EAST BAYWOOD AVENUE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 325-3801, FAX: (480) 344-1613, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0203, LICENSE: H0086, NAME: PAGE HOSPITAL, LEGALLY: PAGE HOSPITAL, ADDRESS: 501 NORTH NAVAJO DRIVE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (628) 645-2424, FAX: (928) 645-3549, CAPACITY: 25, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2238, LICENSE: NONE, NAME: SOUTHWESTERN EYE LAKESIDE, LEGALLY: SOUTHWESTERN EYE SURGICENTER LAKESIDE, ADDRESS: 2650 EAST SHOW LOW LAKE ROAD, SUITE 2, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4240, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2179, LICENSE: OTC3108, NAME: CHANDLER VALLEY URGENT CARE CLINIC, INC, LEGALLY: CHANDLER VALLEY URGENT CARE CLINIC, INC., ADDRESS: 936 WEST CHANDLER BOULEVARD, SUITE 1, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 792-1025, FAX: (480) 792-1026, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2241, LICENSE: OTC5243, NAME: ADELANTE HEALTHCARE - SURPRISE, LEGALLY: ADELANTE HEALTHCARE - SURPRISE, ADDRESS: 15351 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 583-3001, FAX: (623) 583-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2258, LICENSE: OTC4926, NAME: OASIS HEALTH SPA, LEGALLY: OASIS HEALTH SPA, ADDRESS: 908 SOUTH POWER ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-0003, FAX: (480) 832-0244, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2236, LICENSE: , NAME: BARROW NEUROLOGY CLINICS, LEGALLY: BARROW NEUROLOGY CLINICS, ADDRESS: 500 WEST THOMAS ROAD, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6276, FAX: (602) 406-6260, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2270, LICENSE: OTC3131, NAME: INNOVATIVE SENIOR CARE AT PARK REGENCY, LEGALLY: INNOVATIVE SENIOR CARE AT PARK REGENCY, ADDRESS: 2555 NORTH PRICE ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 345-7171, FAX: (480) 345-9311, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0848, LICENSE: NONE, NAME: GOOD SAMARITAN MEDICAL CENTER - ESRD (032300), LEGALLY: GOOD SAMARITAN MEDICAL CENTER - ESRD, ADDRESS: 1111 EAST MCDOWELL ROAD, SUITE 9-B, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-4704, FAX: (602) 239-3606, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2295, LICENSE: OTC4643, NAME: PARKWAY MEDICAL FAMILY, LEGALLY: PARKWAY MEDICAL FAMILY, ADDRESS: 6565 EAST GREENWAY PARKWAY, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 348-3200, FAX: (480) 948-4438, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED2234, LICENSE: OTC4110, NAME: GENESIS PHYSICAL THERAPY, LEGALLY: GENESIS PHYSICAL THERAPY, LLC, ADDRESS: 6343 EAST MAIN STREET, SUITE 8, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 325-8838, FAX: (480) 325-9191, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2237, LICENSE: OSC5329, NAME: CENTRAL PHOENIX SURGICAL CENTER, LEGALLY: PHOENIX EYE SURGICAL CENTER, LLC, ADDRESS: 5133 NORTH CENTRAL AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-2434, FAX: (602) 279-6475, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2250, LICENSE: OSC5433, NAME: SURGERY CENTER OF GILBERT, LEGALLY: SURGERY CENTER OF GILBERT, LLC, ADDRESS: 6003 EAST BASELINE ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 558-7541, FAX: (480) 507-3311, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2251, LICENSE: OTC4117, NAME: PHYSIOTHERAPY ASSOCIATES-DUNLAP, LEGALLY: PHYSIOTHERAPY ASSOCIATES, ADDRESS: 2400 WEST DUNLAP AVENUE, SUITE 145, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 870-1414, FAX: (602) 870-4141, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2259, LICENSE: OTC4567, NAME: SELECT PHYSICAL THERAPY-GREENTREE (036574), LEGALLY: SELECT PHYSICAL THERAPY-GREENTREE, ADDRESS: 1729 WEST GREENTREE DRIVE - SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 785-1765, FAX: (480) 785-4533, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2249, LICENSE: OTC3120, NAME: MARIPOSA COMMUNITY HEALTH CENTER-SIERRA, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, ADDRESS: 1852 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2262, LICENSE: NONE, NAME: RENAL CARE GROUP-SALT RIVER, LEGALLY: RENAL CARE GROUP-SALT RIVER, ADDRESS: 10301 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85256, PHONE: (480) 362-1044, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2268, LICENSE: OTC3209, NAME: YAVAPAI COUNTY COMM HEALTH SERVICE-PRESCOTT VALLEY, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES-PRESCOTT VALLEY, ADDRESS: 3212 NORTH WINDSONG DRIVE, 2ND FLOOR, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 442-5511, FAX: (928) 771-3369, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2274, LICENSE: OTC3231, NAME: LAKE HILLS INN OUTPATIENT REHAB, LEGALLY: LAKE HILLS INN OUTPATIENT REHAB, ADDRESS: 2781 OSBORN DRIVE, THERAPY ROOM, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86406, PHONE: (928) 505-5552, FAX: (928) 505-2660, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00005, LICENSE: NONE, NAME: PHOENIX CHILDRENS HOSPITAL, LEGALLY: PHOENIX CHILDRENS HOSPITAL, ADDRESS: 1919 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 546-1000, FAX: (602) 546-0394, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2307, LICENSE: OTC5536, NAME: ADELANTE HEALTHCARE - MESA, LEGALLY: ADELANTE HEALTHCARE - MESA, ADDRESS: 1705 WEST MAIN STREET, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (623) 583-3001, FAX: (623) 523-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2301, LICENSE: OSC3177, NAME: GATEWAY SURGERY CENTER, LEGALLY: GATEWAY SURGERY CENTER, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 288-4441, FAX: (602) 288-4460, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2294, LICENSE: , NAME: TMC OUTPATIENT ORTHOPEDIC SURGERY CENTER, LEGALLY: TMC OUTPATIENT ORTHOPEDIC SURGERY CENTER, ADDRESS: 2424 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 784-6500, FAX: (520) 784-6462, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2159, LICENSE: HSPC3077, NAME: HOSPICE OF THE VALLEY'S CORONADO HOUSE(031500), LEGALLY: HOSPICE OF THE VALLEY'S CORONADO HOUSE, ADDRESS: 340 EAST CORONADO, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 10, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2269, LICENSE: OTC5188, NAME: DSI NORTHEAST PHOENIX RENAL CENTER, LEGALLY: DSI NORTHEAST PHOENIX RENAL CENTER, ADDRESS: 3305 EAST GREENWAY ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 765-3919, FAX: (480) 765-9017, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2340, LICENSE: OTC5563, NAME: U S HEALTHWORKS MEDICAL GROUP-TEMPE (URGENT CARE), LEGALLY: U S HEALTHWORKS MEDICAL GROUP OF ARIZONA, PC, ADDRESS: 1626 S PRIEST DR SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 921-2273, FAX: (480) 921-7114, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2279, LICENSE: , NAME: JOHN C LINCOLN OUTPATIENT MEDICAL IMAGING- 27TH AV, LEGALLY: JOHN C. LINCOLN OUTPATIENT MEDICAL IMAGING - 27TH AVENUE, ADDRESS: 19636 NORTH 27TH AVENUE, SUITE LL1, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 445-6400, FAX: (623) 445-6410, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2299, LICENSE: OTC3147, NAME: NEXTCARE URGENT CARE-GREENWAY, LEGALLY: GREENWAY URGENT CARE, LLC, ADDRESS: 3229 EAST GREENWAY ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2327, LICENSE: OTC3156, NAME: U S HEALTHWORKS MED GRP OF AZ-SCOTTS (URGENT CARE), LEGALLY: U.S. HEALTHWORKS MEDICAL GROUP OF ARIZONA, ADDRESS: 10335 NORTH SCOTTSDALE ROAD, SUITE A, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85253, PHONE: (480) 991-9358, FAX: (480) 483-3858, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2325, LICENSE: OTC3150, NAME: U S HEALTHWORKS MED GROUP-SOUTH WEST PHX (URGENT), LEGALLY: U.S. HEALTHWORKS MEDICAL GROUP - SOUTH WEST PHOENIX, ADDRESS: 2010 NORTH 75TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (623) 245-6695, FAX: (623) 245-3582, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2321, LICENSE: OTC3153, NAME: CONCENTRA MEDICAL CENTERS - NORTH (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS - NORTH, ADDRESS: 2005 WEST RUTHRAUFF ROAD, SUITE #111, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 293-7250, FAX: (520) 293-7234, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2242, LICENSE: OTC3167, NAME: CIGNA GILBERT HEALTHCARE CENTER, LEGALLY: CIGNA GILBERT HEALTHCARE CENTER, ADDRESS: 4001 EAST BASELINE, SUITE F - 107, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2333, LICENSE: OTC3194, NAME: SCOTTSDALE RADIATION ONCOLOGY CENTER, LEGALLY: SCOTTSDALE RADIATION ONCOLOGY CENTER, ADDRESS: 7337 EAST 2ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-6234, FAX: (480) 882-6272, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2331, LICENSE: OTC3183, NAME: PHYSIOTHERAPY ASSOCIATES, INC-CAMELBACK, LEGALLY: PHYSIOTHERAPY ASSOCIATES, INC.-CAMELBACK, ADDRESS: 2222 EAST HIGHLAND AVENUE, SUITE 310, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-8885, FAX: (602) 955-8895, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2278, LICENSE: OTC3128, NAME: COMMUNITY HEALTH ACTION ON WHEELS, LEGALLY: COMMUNITY HEALTH ACTION ON WHEELS, ADDRESS: 1533 EAST MABEL STREET, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 626-0178, FAX: (520) 626-9086, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2329, LICENSE: OSC3151, NAME: SOUTHWESTERN EYE CENTER SUN CITY, LEGALLY: SOUTHWESTERN EYE SURGICENTER-SUN CITY, ADDRESS: 10615 WEST THUNDERBIRD, SUITE # A-100, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-9600, FAX: (623) 977-9602, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2335, LICENSE: OSC4178, NAME: SOUTHWESTERN EYE SURGICENTER-KINGMAN, LEGALLY: SOUTHWESTERN EYE SURGICENTER, ADDRESS: 1919 FLORENCE AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-5454, FAX: (928) 753-7790, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2300, LICENSE: HHA3163, NAME: ASSISTED HEALTHCARE SERVICES, LEGALLY: ASSISTED HEALTHCARE SERVICES, ADDRESS: 8165 EAST INDIAN BEND ROAD, SUITE #101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 860-2345, FAX: (480) 860-2340, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2306, LICENSE: OTC3856, NAME: ACADEMY VILLAGE WELLNESS CENTER, THE, LEGALLY: ACADEMY VILLAGE WELLNESS CENTER, THE, ADDRESS: 13701 EAST LANGTRY LANE, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 647-0904, FAX: (520) 647-0908, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2342, LICENSE: NONE, NAME: RENAL CARE GROUP-SAN CARLOS, LEGALLY: RENAL CARE GROUP-SAN CARLOS, ADDRESS: HIGHWAY 70 & 170 SRT, CITY: PERIDOT, STATE: AZ, ZIP: 85542, PHONE: (928) 475-5987, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2302, LICENSE: OTC3155, NAME: TUCSON CLINICA MEDICA FAMILIAR, LEGALLY: TUCSON CLINICA MEDICA FAMILIAR, ADDRESS: 3770 SOUTH 16TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 620-1200, FAX: (520) 620-1400, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2296, LICENSE: OTC3638, NAME: BELLA VITA HEALTHCARE AND REHABILITATION CENTER, LEGALLY: BELLA VITA HEALTHCARE AND REHABILITATION, ADDRESS: 5125 NORTH 58TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 931-5800, FAX: (623) 931-8776, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2346, LICENSE: OTC4294, NAME: PHYSIOTHERAPY ASSOCIATES-PEORIA, LEGALLY: PHYSIOTHERAPY ASSOCIATES-PEORIA, ADDRESS: 16155 NORTH 83RD AVENUE, SUITE 105, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 572-6776, FAX: (623) 572-6962, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED1397, LICENSE: SH3843, NAME: CORNERSTONE HOSPITAL OF SOUTHEAST AZ, LEGALLY: CORNERSTONE HOSPITAL OF SOUTHEAST ARIZONA, ADDRESS: 7220 EAST ROSEWOOD STREET, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 546-4595, FAX: (520) 290-1465, CAPACITY: 34, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2298, LICENSE: OTC3195, NAME: NEXTCARE URGENT CARE-DOBSON, LEGALLY: NEXTCARE URGENT CARE-DOBSON, ADDRESS: 600 SOUTH DOBSON ROAD, SUITE C26, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 324-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2358, LICENSE: OTC4451, NAME: PINNACLE HEALTHCARE (URGENT CARE CENTER), LEGALLY: PINNACLE HEALTHCARE, ADDRESS: 4343 EAST 31ST PLACE, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 341-4544, FAX: (928) 341-4514, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2375, LICENSE: OTC4360, NAME: PLANNED PARENTHOOD-SANGER, LEGALLY: PLANNED PARENTHOOD-SANGER, ADDRESS: 2255 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 624-1766, FAX: (520) 628-3069, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2361, LICENSE: OTC3561, NAME: UNITED CEREBRAL PALSY OF CENTRAL ARIZONA, LEGALLY: UNITED CEREBRAL PALSY OF CENTRAL ARIZONA, ADDRESS: 1802 WEST PARKSIDE LANE, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 943-5472, FAX: (602) 943-4936, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2336, LICENSE: HSPC3324, NAME: HOSPICE OF THE VALLEY EAST MESA BLD B, PCU (031505, LEGALLY: HOSPICE OF THE VALLEY'S EAST MESA BUILDING B-PCU INPATIENT, ADDRESS: 6063 EAST ARBOR AVENUE, BUILDING B, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 654-6580, FAX: (480) 654-6581, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2297, LICENSE: OTC3317, NAME: NEXTCARE URGENT CARE-SHEA, LEGALLY: NEXTCARE URGENT CARE SHEA, ADDRESS: 7425 EAST SHEA BOULEVARD, SUITE 108, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 348-1060, FAX: (480) 348-1059, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2610, LICENSE: OSC3385, NAME: METRO SURGERY CENTER, L P, LEGALLY: METRO SURGERY CENTER, L.P., ADDRESS: 3131 WEST PEORIA AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 375-1083, FAX: (602) 789-6833, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2511, LICENSE: OTC3511, NAME: VALLEY OXIMETRY & POLYSOMNOGRAPHY SLEEP DISORDERS, LEGALLY: VALLEY OXIMETRY & POLYSOMNOGRAPHY SLEEP DISORDERS CENTER, ADDRESS: 4555 EAST INVERNESS, SUITE 3, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 830-3900, FAX: (480) 830-3901, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2359, LICENSE: OTC4974, NAME: MOUNTAIN PARK HEALTH CENTER- GOODYEAR, LEGALLY: MOUNTAIN PARK HEALTH CENTER - GOODYEAR, ADDRESS: 140 NORTH LITCHFIELD ROAD, SUITE 200, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (602) 323-8001, FAX: (602) 323-3496, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2606, LICENSE: OTC3387, NAME: ADVANTAGE URGENT CARE, LEGALLY: ADVANTAGE URGENT CARE, ADDRESS: 5410 WEST THUNDERBIRD, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 530-6189, FAX: (602) 443-6760, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2305, LICENSE: OSC3340, NAME: ARIZONA DIGESTIVE INSTITUTE, LEGALLY: ARIZONA DIGESTIVE INSTITUTE, ADDRESS: 7566 NORTH LA CHOLLA BOULEVARD SUITE B, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-2019, FAX: (520) 742-3010, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2545, LICENSE: OTC3357, NAME: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-HOLBROOK, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-HOLBROOK, ADDRESS: 117 EAST BUFFALO STREET, CITY: HOLBROOK, STATE: AZ, ZIP: 86025, PHONE: (928) 524-4750, FAX: (928) 524-4754, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2546, LICENSE: OTC3358, NAME: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-WINSLOW, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-WINSLOW, ADDRESS: 619 EAST THIRD STREET, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-6830, FAX: (928) 289-6826, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2547, LICENSE: OTC4908, NAME: NAVAJO COUNTY PUBLIC HEALTH SERVICES DISTRICT-SHOW, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH SERVICES DISTRICT-SHOW LOW, ADDRESS: 600 NORTH 9TH PLACE, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 532-6050, FAX: (928) 532-6054, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED2543, LICENSE: SH3378, NAME: YUMA REHABILITATION HOSPITAL, LEGALLY: YUMA REHABILITATION HOSPITAL, ADDRESS: 901 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 726-5000, FAX: (928) 726-5001, CAPACITY: 41, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2281, LICENSE: OTC3171, NAME: COMMUNITY ASSET & RESOURCE ENTERPRISE PARTNERSHIP, LEGALLY: COMMUNITY ASSET AND RESOURCE ENTERPRISE PARTNERSHIP, ADDRESS: 466 SOUTH BELLVIEW STREET, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 962-5197, FAX: (480) 833-8842, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2323, LICENSE: OTC3144, NAME: CONTINENTAL FAMILY MEDICAL CENTER, LEGALLY: CONTINENTAL FAMILY MEDICAL CENTER, ADDRESS: 1260 SOUTH CAMPBELL AVENUE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4401, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2356, LICENSE: HHA3958, NAME: SUNRISE HEALTH SERVICES, LEGALLY: SUNRISE HEALTH SERVICES, ADDRESS: 1840 EAST UNIVERSITY DRIVE, SUITE 1, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 926-0133, FAX: (480) 926-6377, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2377, LICENSE: OTC3353, NAME: NP HEALTHCARE - GRACE, LEGALLY: NP HEALTHCARE - GRACE, ADDRESS: 1124 NORTH THIRD STREET, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 523-9275, FAX: (602) 258-4345, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2515, LICENSE: OTC5028, NAME: BIRTH AND WOMEN'S HEALTH CENTER, LEGALLY: BIRTH AND WOMEN'S HEALTH CENTER, ADDRESS: 5979 EAST GRANT ROAD, SUITE #107, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-9912, FAX: (520) 795-9934, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2520, LICENSE: OTC3330, NAME: COMPREHENSIVE SLEEP SOLUTIONS-ORACLE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-ORACLE, ADDRESS: 7440 NORTH ORACLE ROAD, BUILDING 1, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2521, LICENSE: OTC3331, NAME: COMPREHENSIVE SLEEP SOLUTIONS - GRANT, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS - GRANT, ADDRESS: 5671 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2527, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 5, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC., SUITE 5, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-3920, FAX: (520) 452-2218, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2528, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 10F, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC. SUITE 10F, ADDRESS: 302 EL CAMINO REAL SUITE 10F, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-3920, FAX: (520) 417-4299, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2529, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES -SUITE 11A/B, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC. SUITE 11A/B, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-1914, FAX: (520) 452-2227, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2530, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 11C/D, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, SUITE 11C/D, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-2849, FAX: (520) 417-9436, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2531, LICENSE: , NAME: ARIZONA FAMILY CARE COCHISE ORTHOPEDIC CLINIC, LEGALLY: ARIZONA FAMILY CARE COCHISE ORTHOPEDIC CLINIC, ADDRESS: 1951 SOUTH FRONTAGE ROAD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0650, FAX: (520) 459-7030, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2381, LICENSE: OTC3336, NAME: COMPREHENSIVE SLEEP SOLUTIONS-TEMPE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-TEMPE, ADDRESS: 3280 SOUTH COUNTRY CLUB WAY, SUITE 112, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2549, LICENSE: OTC3388, NAME: SOJOURNER CENTER HEALTH CLINIC HERITAGE CAMPUS, LEGALLY: SOJOURNER CENTER HEALTH CLINIC HERITAGE CAMPUS, ADDRESS: P O BOX 20156, CITY: PHOENIX, STATE: AZ, ZIP: 85036, PHONE: (602) 244-0997, FAX: (602) 244-8006, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2553, LICENSE: HHA3392, NAME: DEPENDABLE NURSES OF PHOENIX, LEGALLY: DEPENDABLE NURSES OF PHOENIX, INC., ADDRESS: 8687 EAST VIA DE VENTURA, SUITE 110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 609-9006, FAX: (480) 609-9016, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2556, LICENSE: OTC3408, NAME: SCOTTSDALE DIALYSIS CENTER, LEGALLY: SCOTTSDALE DIALYSIS CENTER, ADDRESS: 4725 NORTH SCOTTSDALE ROAD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 994-1445, FAX: (480) 994-4946, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2283, LICENSE: OTC3405, NAME: EL RIO BROADWAY CLINIC, LEGALLY: EL RIO BROADWAY CLINIC, ADDRESS: 1101 EAST BROADWAY, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 792-3293, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2285, LICENSE: , NAME: EL RIO HEALTH CENTER-SUMMIT ELEMENTARY, LEGALLY: EL RIO HEATLH CENTER - SUMMIT ELEMENTARY, ADDRESS: 1900 EAST SUMMIT STREET, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (520) 545-3860, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2319, LICENSE: HHA3362, NAME: MAXICARE HOMEHEALTH, INC, LEGALLY: MAXICARE HOMEHEALTH, INC., ADDRESS: 2432 WEST PEORIA AVENUE, SUITE #1120, BLDG 5, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 246-1115, FAX: (602) 246-1114, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2328, LICENSE: OSC3152, NAME: SOUTHWESTERN EYE SURGICENTER-BELL ROAD, LEGALLY: SOUTHWESTERN EYE SURGICENTER-BELL ROAD, ADDRESS: 3321 EAST BELL ROAD, SUITE #B 12, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 787-9100, FAX: (602) 787-9101, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2501, LICENSE: HHA3307, NAME: LIFE CARE AT HOME, LEGALLY: LIFE CARE AT HOME, ADDRESS: 1820 EAST RIVER ROAD SUITE D100, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 498-2288, FAX: (520) 498-4693, CAPACITY: 0, COUNTY: PIMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2360, LICENSE: OSC3434, NAME: TURNING POINTE SURGERY CENTER, LEGALLY: TURNING POINTE SURGERY CENTER, ADDRESS: 4540 EAST BASELINE ROAD, SUITE #117, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 844-1410, FAX: (480) 844-2723, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2362, LICENSE: HHA3379, NAME: LOS NINOS HOSPITAL INNOVATIVE, LEGALLY: LOS NINOS HOSPITAL INNOVATIVE HOME HEALTH CARE, ADDRESS: 2601 EAST THOMAS ROAD, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 305-9500, FAX: (602) 243-1217, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED2363, LICENSE: HSPC3366, NAME: NEW HOPE HOSPICE OF NEVADA, INC, LEGALLY: NEW HOPE HOSPICE OF NEVADA, INC, ADDRESS: 3650 SOUTH POINTE CIRCLE, SUITE 112, CITY: LAUGHLIN, STATE: NV, ZIP: 89029, PHONE: (928) 444-8122, FAX: (702) 298-8056, CAPACITY: 0, COUNTY: CLARK TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2369, LICENSE: OTC3309, NAME: IMMANUEL OUTPATIENT THERAPY CENTER, LEGALLY: IMMANUEL OUTPATIENT THERAPY CENTER, ADDRESS: 11301 NORTH 99TH AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 977-8373, FAX: (623) 876-6195, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2373, LICENSE: OTC4222, NAME: RENAL CARE GROUP-AHWATUKEE, LEGALLY: RENAL CARE GROUP-AHWATUKEE, ADDRESS: 4629 EAST CHANDLER BOULEVARD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 785-2270, FAX: (480) 785-7199, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2505, LICENSE: OSC3889, NAME: ENDOSCOPY CENTER OF YUMA, LEGALLY: ENDOSCOPY CENTER OF YUMA, ADDRESS: 1030 WEST 24TH STREET, SUITE I, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-1717, FAX: (928) 343-1011, CAPACITY: 0, COUNTY: YUMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2506, LICENSE: NONE, NAME: SULPHUR SPRINGS MEDICAL CENTER, LEGALLY: SULPHUR SPRINGS MEDICAL CENTER, ADDRESS: 900 WEST SCOTT, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-4421, FAX: (520) 384-4645, CAPACITY: 0, COUNTY: COCHISE TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2507, LICENSE: NONE, NAME: SUNSITES MEDICAL CLINIC, LEGALLY: SUNSITES MEDICAL CLINIC, ADDRESS: 223 NORTH FRONTAGE ROAD, CITY: PEARCE, STATE: AZ, ZIP: 85625, PHONE: (520) 826-1088, FAX: (520) 384-4645, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2508, LICENSE: OTC4457, NAME: PIMA COUNTY JUVENILE DETENTION CENTER MEDICAL UNIT, LEGALLY: PIMA COUNTY JUVENILE DETENTION CENTER MEDICAL UNIT, ADDRESS: 2225 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 243-7835, FAX: (520) 791-6500, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2514, LICENSE: OSC5104, NAME: EAST VALLEY ENDOSCOPY, LEGALLY: EAST VALLEY ENDOSCOPY , LLC, ADDRESS: 6020 EAST ARBOR AVENUE, SUITE 105, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 830-2005, FAX: (480) 830-2405, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2519, LICENSE: OSC3316, NAME: JON R HILLEGAS SURGERY CENTER, THE, LEGALLY: JON R HILLEGAS SURGERY CENTER, THE, ADDRESS: 13640 NORTH PLAZA DEL RIO BOULEVARD, SUITE 135, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3956, FAX: (623) 876-6946, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2525, LICENSE: OTC3335, NAME: VIRGINIA G PIPER CANCER CTR OUTPATIENT INFUSION, LEGALLY: VIRGINIA G PIPER CANCER CENTER OUTPATIENT INFUSION, ADDRESS: 10460 NORTH 92ND STREET, SUITE 206, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-1340, FAX: (480) 323-1341, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2533, LICENSE: OTC4040, NAME: FRESENIUS MEDICAL CARE MAMMOTH DIALYSIS, LEGALLY: FRESENIUS MEDICAL CARE MAMMOTH DIALYSIS, ADDRESS: 14786 SOUTH HIGHWAY 77, CITY: MAMMOTH, STATE: AZ, ZIP: 85618, PHONE: (520) 487-0150, FAX: (520) 487-0156, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2537, LICENSE: OTC3374, NAME: NEXTCARE URGENT CARE-POWER, LEGALLY: NEXTCARE URGENT CARE - POWER, ADDRESS: 1066 NORTH POWER ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2380, LICENSE: OTC4459, NAME: APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT, LEGALLY: APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT, ADDRESS: 323 SOUTH MOUNTAIN AVENUE, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-2415, FAX: (928) 333-5876, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2542, LICENSE: OTC3376, NAME: SUMMIT HEALTHCARE ONCOLOGY SERVICES, LEGALLY: SUMMIT HEALTHCARE ONCOLOGY SERVICES, ADDRESS: 2500 EAST HUNT DRIVE, SUITE H-J, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-6937, FAX: (928) 532-8798, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2309, LICENSE: OTC3360, NAME: CLINICA AMISTAD, LEGALLY: AMISTAD Y SALUD, ADDRESS: 1631 SOUTH 10TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 405-5696, FAX: (520) 795-1445, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2577, LICENSE: OTC3753, NAME: COMPREHENSIVE SLEEP SOLUTIONS - CASA GRANDE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS - CASA GRANDE, ADDRESS: 1729 NORTH TREKELL ROAD, SUITE 101, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2598, LICENSE: OTC5376, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 13188 NORTH 103RD DRIVE, SUITE 206, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 972-3001, FAX: (623) 933-3045, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2524, LICENSE: OSC3384, NAME: ARIZONA EYE INSTITUTE AND COSMETIC LASER CENTER, LEGALLY: ARIZONA EYE INSTITUTE AND COSMETIC LASER CENTER, ADDRESS: 19052 R H JOHNSON BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-2020, FAX: (623) 975-7005, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2605, LICENSE: OTC3382, NAME: KEELING HEALTH CENTER, LEGALLY: KEELING HEALTH CENTER, ADDRESS: 435 EAST GLENN, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 682-3777, FAX: (520) 696-6971, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2347, LICENSE: HHA4209, NAME: AMEDISYS HOME HEALTH, LEGALLY: AMEDISYS HOME HEALTH, ADDRESS: 2185 WEST PECOS ROAD, SUITE E1, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 883-9295, FAX: (480) 883-9252, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2541, LICENSE: OTC3391, NAME: INNOVATIVE SENIOR CARE AT SANTA CATALINA VILLAS, LEGALLY: INNOVATIVE SENIOR CARE AT SANTA CATALINA VILLAS, ADDRESS: 7500 NORTH CALLE SIN ENVIDIA , SUITE #5103, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (615) 564-8181, FAX: (414) 292-4868, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2568, LICENSE: SH3394, NAME: GREENBAUM SURGICAL SPECIALTY HOSPITAL, LEGALLY: GREENBAUM SURGICAL SPECIALTY HOSPITAL, ADDRESS: 3535 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4657, FAX: (480) 882-4084, CAPACITY: 26, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2614, LICENSE: OTC3397, NAME: ALMA MEDICAL INCORPORATED, LEGALLY: ALMA MEDICAL INCORPORATED, ADDRESS: 4455 SOUTH PARK AVENUE, SUITE 104, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 741-0599, FAX: (520) 741-0790, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2581, LICENSE: OTC3463, NAME: KINDRED TRANSITIONAL CARE AND REHAB-KACHINA POINT, LEGALLY: KINDRED TRANSITIONAL CARE AND REHABILITATION-KACHINA POINT, ADDRESS: 505 JACKS CANYON ROAD, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 284-1000, FAX: (928) 284-0626, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2621, LICENSE: OTC3435, NAME: BANNER HEALTH SCHOOL-BASED HEALTH CTR OF GLENDALE, LEGALLY: BANNER HALTH SCHOOL - BASED HEALTH CENTER OF GLENDALE, ADDRESS: 6625 NORTH 56TH AVENUE, CLINIC EXAM ROOM, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 842-8220, FAX: (623) 842-8331, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2634, LICENSE: HSPC3420, NAME: HOSPICE INSPIRIS, LEGALLY: HOSPICE INSPIRIS, ADDRESS: 2025 NORTH 3RD STREET, SUITE B205, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 712-1000, FAX: (602) 712-0012, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2582, LICENSE: OTC3530, NAME: SAN LUIS WALK-IN CLINIC-FAMILY & ADULT CENTER, LEGALLY: SAN LUIS WALK-IN CLINIC-FAMILY & ADULT CENTER, ADDRESS: 1896 EAST BABBIT LANE, SUITE A,B,C & D, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 722-6112, FAX: (928) 722-6113, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2635, LICENSE: , NAME: PHOENIX CHILDREN'S SURGERY CENTER, LEGALLY: PHOENIX CHILDREN'S SURGERY CENTER, ADDRESS: 1920 EAST CAMBRIDGE, BUILDING E, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 604-9400, FAX: (602) 604-9444, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2637, LICENSE: OTC3455, NAME: NORTH COUNTRY HEALTHCARE-WINSLOW, LEGALLY: NORTH COUNTRY HEALTHCARE-WINSLOW, ADDRESS: 620 WEST LEE, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-2000, FAX: (928) 774-1652, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2638, LICENSE: OSC3462, NAME: PHOENIX ENDOSCOPY, LLC, LEGALLY: PHOENIX ENDOSCOPY, LLC, ADDRESS: 349 EAST CORONADO ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 266-5678, FAX: (602) 264-5646, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2566, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE CENTER SURGICENTER - SIERRA VISTA, ADDRESS: 75 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-6860, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: COCHISE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2612, LICENSE: OSC3456, NAME: ST JOSEPH'S OUTPATIENT SURGERY CENTER, LEGALLY: ST JOSEPH'S OUTPATIENT SURGERY CENTER, LLC, ADDRESS: 240 WEST THOMAS ROAD, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3552, FAX: (602) 406-3813, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2651, LICENSE: OTC3433, NAME: NEXTCARE URGENT CARE-MCDOWELL, LEGALLY: NEXTCARE URGENT CARE-MCDOWELL, ADDRESS: 13075 WEST MCDOWELL ROAD, SUITE D106, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2551, LICENSE: OTC4810, NAME: WEST VALLEY URGENT CARE 2, LEGALLY: WEST VALLEY URGENT CARE 2, ADDRESS: 14811 WEST BELL ROAD, SUITE 101, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 815-9073, FAX: (623) 815-9201, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2662, LICENSE: HSPC4076, NAME: PREMIER HOSPICE AND PALLIATIVE CARE, LLC, LEGALLY: PREMIER HOSPICE AND PALLIATIVE CARE, LLC, ADDRESS: 4530 EAST SHEA BOULEVARD, SUITES #165 & 175, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 274-7572, FAX: (602) 274-5465, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2648, LICENSE: OTC3426, NAME: GILA CO DIV OF HEALTH & EMERGENCY SERVICES-GLOBE, LEGALLY: GILA COUNTY DIV OF HEALTH & EMERGENCY SERVICES-GLOBE, ADDRESS: 5515 SOUTH APACHE AVENUE, SUITE 100, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 402-8811, FAX: (928) 425-0794, CAPACITY: 0, COUNTY: GILA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2653, LICENSE: OSC3432, NAME: AMBULATORY SURGERY CENTER OF TUCSON, LEGALLY: AMBULATORY SURGERY CENTER OF TUCSON, ADDRESS: 1502 NORTH TUCSON BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 326-4321, FAX: (520) 326-4736, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2661, LICENSE: OSC3471, NAME: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC, LEGALLY: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, P.C., ADDRESS: 560 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-3044, FAX: (928) 774-7107, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2664, LICENSE: OTC3466, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH-COLORADO, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH-COLORADO CITY, ADDRESS: 20 SOUTH COLVIN STREET, ROOM 1, CITY: COLORADO CITY, STATE: AZ, ZIP: 86021, PHONE: (928) 875-8960, FAX: (928) 875-8961, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2665, LICENSE: OTC3464, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH BULLHEAD, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH BULLHEAD CITY, ADDRESS: 1222 HANCOCK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-0703, FAX: (928) 758-0719, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2666, LICENSE: OTC3465, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS: 2001 COLLEGE DRIVE, SUITE 115, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-0703, FAX: (928) 453-0740, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2682, LICENSE: OTC3448, NAME: PLANNED PARENTHOOD - FLAGSTAFF, LEGALLY: PLANNED PARENTHOOD - FLAGSTAFF, ADDRESS: 1304 SOUTH PLAZA WAY, CITY: EAST FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-3653, FAX: (928) 774-5366, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2684, LICENSE: OTC3477, NAME: PRESCOTT MEDICAL IMAGING, LEGALLY: PRESCOTT MEDICAL IMAGING, LLC, ADDRESS: 810 WHIPPLE STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-7577, FAX: (928) 771-7616, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2685, LICENSE: OTC3430, NAME: SUN LIFE FAMILY HEALTH CENTER - COOLIDGE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER - COOLIDGE, ADDRESS: 1284 NORTH ARIZONA BOULEVARD, CITY: COOLIDGE, STATE: AZ, ZIP: 85228, PHONE: (520) 723-9131, FAX: (520) 723-7974, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2617, LICENSE: OTC3440, NAME: SLEEP TESTING AND RESPIRATORY SERVICES -SCOTTSDALE, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES -SCOTTSDALE, ADDRESS: 8436 EAST SHEA BOULEVARD, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 282-6540, FAX: (480) 282-6640, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2671, LICENSE: OTC3604, NAME: STAT CLINIX-MESA (URGENT CARE CENTER), LEGALLY: STAT CLINIX-MESA, ADDRESS: 1151 NORTH GILBERT ROAD, CITY: MESA, STATE: AZ, ZIP: 85213, PHONE: (480) 610-0688, FAX: (602) 926-6132, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2680, LICENSE: OTC5163, NAME: NORTH COUNTRY HEALTHCARE-ROUND VALLEY(URG CARE), LEGALLY: NORTH COUNTRY HEALTHCARE-ROUND VALLEY, ADDRESS: 488 SOUTH MOUNTAIN AVENUE, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-0127, FAX: (928) 333-4799, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2686, LICENSE: OTC3475, NAME: STAND-UP MRI OF ARIZONA, LLC, LEGALLY: STAND-UP MRI OF ARIZONA, LLC, ADDRESS: 8581 WEST KELTON LANE, SUITE 202, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 815-8500, FAX: (623) 815-7773, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2618, LICENSE: OTC5066, NAME: SLEEP TESTING AND RESPIRATORY SERVICES - SUN CITY, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES - SUN CITY, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-7, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2687, LICENSE: OTC3473, NAME: NEXTCARE URGENT CARE-59TH, LEGALLY: NEXTCARE URGENT CARE-59TH, ADDRESS: 18589 NORTH 59TH AVENUE, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2690, LICENSE: OTC5658, NAME: THUMB BUTTE OUTPATIENT TREATMENT CENTER-#4666, LEGALLY: THUMB BUTTE OUTPATIENT TREATMENT CENTER- #4666, ADDRESS: 864 DOUGHERTY STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 778-9667, FAX: (928) 771-9620, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2696, LICENSE: HHA3444, NAME: NURSES NETWORK, INC-PRESCOTT VALLEY, LEGALLY: NURSES NETWORK, INC-PRESCOTT VALLEY, ADDRESS: 3085 NORTH WINDSONG DRIVE, SUITE B, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-8707, FAX: (928) 772-7054, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2697, LICENSE: HHA3443, NAME: NURSES NETWORK, INC- FLAGSTAFF, LEGALLY: NURSES NETWORK, INC.-FLAGSTAFF, ADDRESS: 624 NORTH HUMPHREYS, SUITE BN, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-1924, FAX: (928) 556-0625, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2667, LICENSE: OTC3467, NAME: ADVANTAGE URGENT CARE II, LEGALLY: ADVANTAGE URGENT CARE II, ADDRESS: 14800 WEST MOUNTAIN VIEW ROAD, SUITE 190, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (602) 530-6189, FAX: (602) 548-2292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2698, LICENSE: OTC3452, NAME: COMMUNITY WELLNESS & SAFETY OF ARIZONA, LEGALLY: COMMUNITY WELLNESS & SAFETY OF ARIZONA, LLC, ADDRESS: 522 NORTH GILBERT ROAD, SUITE 104, NURSING OFFICE, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 325-9459, FAX: (480) 396-0234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2699, LICENSE: OTC3449, NAME: HAMILTON ELEMENTARY SCHOOL CLINIC, LEGALLY: HAMILTON ELEMENTARY SCHOOL CLINIC, ADDRESS: 2020 WEST DURANGO STREET, ROOM 46, CITY: PHOENIX, STATE: AZ, ZIP: 85009, PHONE: (602) 353-5330, FAX: (602) 353-5388, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2700, LICENSE: HHA3480, NAME: PHOENIX HOME HEALTH NURSING SERVICES, INC, LEGALLY: PHOENIX HOME HEALTH NURSING SERVICES, INC, ADDRESS: 16841 NORTH 31ST AVENUE, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 789-8282, FAX: (602) 789-1989, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2702, LICENSE: OTC3495, NAME: MONTECITO POST ACUTE CARE AND REHABILITATION, LEGALLY: EAST MESA HEALTHCARE CENTER, ADDRESS: 51 SOUTH 48TH STREET, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-8333, FAX: (480) 830-2466, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2708, LICENSE: OTC3527, NAME: PINAL COUNTY-APACHE JUNCTION HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY DEPARTMENT OF PUBLIC HEALTH APACHE JUNCTION, ADDRESS: 575 NORTH IDAHO STREET, SUITE 301, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85219, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2711, LICENSE: OTC3520, NAME: PINAL COUNTY - CASA GRANDE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY CASA GRANDE HEALTH DEPARTMENT, ADDRESS: 820 EAST COTTONWOOD LANE, BUILDING E, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2712, LICENSE: OTC3521, NAME: PINAL COUNTY - COOLIDGE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY COOLIDGE HEALTH DEPARTMENT, ADDRESS: 119 WEST CENTRAL AVENUE, CITY: COOLIDGE, STATE: AZ, ZIP: 85228, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2713, LICENSE: OTC3522, NAME: PINAL COUNTY - FLORENCE/MOBILE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY - FLORENCE/MOBILE HEALTH DEPARTMENT, ADDRESS: 500 SOUTH CENTRAL STREET, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2714, LICENSE: OTC3523, NAME: PINAL COUNTY - KEARNY HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY KEARNY HEALTH DEPARTMENT, ADDRESS: 355 ALDEN ROAD, CITY: KEARNY, STATE: AZ, ZIP: 85237, PHONE: (520) 866-7309, FAX: (520) 866-7302, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2715, LICENSE: OTC3524, NAME: PINAL COUNTY - MAMMOTH HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY MAMMOTH HEALTH DEPARTMENT, ADDRESS: 110 MAIN STREET, CITY: MAMMOTH, STATE: AZ, ZIP: 85618, PHONE: (866) 960-0633, FAX: (520) 866-2925, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2716, LICENSE: OTC3526, NAME: PINAL COUNTY - ORACLE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY ORACLE HEALTH DEPARTMENT, ADDRESS: 1870 WEST AMERICAN WAY, CITY: ORACLE, STATE: AZ, ZIP: 85623, PHONE: (520) 896-9777, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2718, LICENSE: OTC3525, NAME: PINAL COUNTY ELOY HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY ELOY HEALTH DEPARTMENT, ADDRESS: 302 EAST 5TH STREET, CITY: ELOY, STATE: AZ, ZIP: 85131, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2719, LICENSE: OTC3476, NAME: PALM BROOK DIALYSIS CENTER, LEGALLY: PALM BROOK DIALYSIS CENTER, ADDRESS: 14664 NORTH DEL WEBB BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 583-6550, FAX: (623) 583-6612, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2720, LICENSE: OTC5108, NAME: KEMPTON & NELSON DIAGNOSTICS, LEGALLY: KEMPTON & NELSON DIAGNOSTICS, LLC, ADDRESS: 4852 EAST BASELINE ROAD, SUITE #109, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 610-6400, FAX: (480) 964-4455, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2721, LICENSE: OTC3472, NAME: NEIGHBORHOOD CHRISTIAN CLINIC, THE, LEGALLY: NEIGHBORHOOD CHRISTIAN CLINIC, THE, ADDRESS: 1929 WEST FILLMORE, BUILDING C, CITY: PHOENIX, STATE: AZ, ZIP: 85009, PHONE: (602) 258-6008, FAX: (602) 258-8388, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2312, LICENSE: SH3711, NAME: ARIZONA SPINE AND JOINT HOSPITAL, LEGALLY: ARIZONA SPINE & JOINT HOSPITAL, LLC, ADDRESS: 4620 EAST BASELINE ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-4770, FAX: (480) 824-1269, CAPACITY: 23, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2722, LICENSE: OTC3489, NAME: BULLHEAD URGENT CARE CENTER, LEGALLY: BULLHEAD URGENT CARE CENTER, ADDRESS: 1355 RAMAR ROAD, SUITE 11, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-9202, FAX: (928) 704-9207, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2628, LICENSE: OTC5568, NAME: SIMONMED IMAGING- PHOENIX HIGH FIELD OPEN MRI, LEGALLY: SIMONMED IMAGING- PHOENIX HIGH FIELD OPEN MRI, ADDRESS: 1331 NORTH 7TH STREET, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 253-0000, FAX: (602) 253-8611, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2630, LICENSE: OTC4855, NAME: INSIGHT IMAGING-WEST VALLEY, LEGALLY: INSIGHT IMAGING-WEST VALLEY, ADDRESS: 10249 WEST THUNDERBIRD ROAD, SUITE 200, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-8800, FAX: (623) 876-8881, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2627, LICENSE: OTC5569, NAME: SIMONMED IMAGING- MESA DESERT CAMPUS, LEGALLY: SIMONMED IMAGING- MESA DESERT CAMPUS, ADDRESS: 1111 SOUTH DOBSON ROAD, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 964-4995, FAX: (480) 464-1462, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2631, LICENSE: OTC5570, NAME: SIMONMED IMAGING- NORTH GILBERT- SUPERSTITION, LEGALLY: SIMONMED IMAGING- NORTH GILBERT- SUPERSTITION, ADDRESS: 875 NORTH GREENFIELD ROAD, SUITE 107, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 813-2374, FAX: (480) 813-7865, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2633, LICENSE: OTC4856, NAME: INSIGHT IMAGING-FOUNTAINS, LEGALLY: INSIGHT IMAGING-FOUNTAINS, ADDRESS: 5620 WEST THUNDERBIRD ROAD, BUILDING A, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 863-9729, FAX: (866) 634-8815, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2729, LICENSE: OTC4968, NAME: JOHN C LINCOLN HEALTH CENTER AT ANTHEM, LEGALLY: JOHN C. LINCOLN HEALTH CENTER AT ANTHEM, ADDRESS: 3648 WEST ANTHEM WAY, SUITE A-100, CITY: ANTHEM, STATE: AZ, ZIP: 85086, PHONE: (623) 434-6444, FAX: (623) 434-6448, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2750, LICENSE: OTC3493, NAME: ALTAR VALLEY HEALTH & WELLNESS CENTER - ROBLES ELE, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 9875 SOUTH SASABE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85736, PHONE: (520) 822-9418, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2728, LICENSE: HHA3496, NAME: ARISTOCARE HOME HEALTH SERVICES, LEGALLY: ARISTOCARE HOME HEALTH SERVICES, ADDRESS: 698 EAST WETMORE, SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 577-4825, FAX: (520) 529-0862, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2176, LICENSE: OTC3070, NAME: PROGRESSIVE HEALTHCARE GROUP, LEGALLY: PROGRESSIVE HEALTHCARE GROUP, ADDRESS: 300 SOUTH OCOTILLO, CITY: BENSON, STATE: AZ, ZIP: 85602, PHONE: (520) 586-9111, FAX: (520) 586-9091, CAPACITY: 0, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2753, LICENSE: OTC3498, NAME: EL RIO OB/GYN ASSOCIATES, LEGALLY: EL RIO OB/GYN ASSOCIATES, ADDRESS: 225 WEST IRVINGTON, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 792-9890, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2732, LICENSE: OTC3514, NAME: MOUNTAIN PARK HEALTH CENTER-EAST PHOENIX, LEGALLY: MOUNTAIN PARK HEALTH CENTER EAST PHOENIX, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 323-8202, FAX: (602) 286-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2734, LICENSE: OTC3548, NAME: SLEEP-WAKE DISORDERS CENTER OF HAVASU, LEGALLY: SLEEP-WAKE DISORDERS CENTER OF HAVASU, ADDRESS: 1720 MESQUITE AVENUE, SUITE 201, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-7570, FAX: (928) 855-7574, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2745, LICENSE: OTC3499, NAME: SANTA CATALINA HEALTH CENTER, LEGALLY: SANTA CATALINA HEALTH CENTER, ADDRESS: 15631 NORTH ORACLE ROAD, SUITE 141, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 825-6763, FAX: (520) 825-6841, CAPACITY: 0, COUNTY: PIMA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2762, LICENSE: NONE, NAME: RAPID-RAY, LEGALLY: RAPID-RAY, ADDRESS: 450 WEST CONTINENTAL ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-7670, FAX: (520) 625-7362, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2763, LICENSE: OTC3513, NAME: FASTMED URGENT CARE-WILLIAMS FIELD, LEGALLY: FASTMED URGENT CARE - WILLIAMS FIELD, ADDRESS: 920 EAST WILLIAMS FIELD ROAD, SUITE #101, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 855-9400, FAX: (480) 782-1598, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2771, LICENSE: OTC4817, NAME: PHYSIOTHERAPY ASSOCIATES-EAST MESA, LEGALLY: PHYSIOTHERAPY ASSOCIATES-EAST MESA, ADDRESS: 10165 EAST HAMPTON AVE SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85208, PHONE: (480) 854-7333, FAX: (480) 854-8572, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2747, LICENSE: OTC3502, NAME: UNIVERSITY OF ARIZONA CAMPUS HEALTH SERVICE, LEGALLY: UNIVERSITY OF ARIZONA CAMPUS HEALTH SERVICE, ADDRESS: 1224 EAST LOWELL STREET, CITY: TUCSON, STATE: AZ, ZIP: 85721, PHONE: (520) 621-7428, FAX: (520) 621-8412, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2737, LICENSE: HHA3532, NAME: MGA HOME HEALTHCARE, LLC- PHOENIX, LEGALLY: MGA HOME HEALTHCARE, LLC, ADDRESS: 2800 NORTH 44TH STREET, SUITE #600, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 385-8733, FAX: (602) 385-4930, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2739, LICENSE: , NAME: CONTINENTAL PEDIATRICS, LEGALLY: CONTINENTAL PEDIATRICS, ADDRESS: 1150 WHITEHOUSE CANYON ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4401, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2757, LICENSE: OTC3504, NAME: COMPREHENSIVE SLEEP SOLUTIONS-GLENDALE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS, LLC, ADDRESS: 7200 WEST BELL ROAD, SUITE K-101, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2773, LICENSE: OTC4814, NAME: FASTRAX URGENT CARE CENTER, LEGALLY: FASTRAX URGENT CARE CENTER, ADDRESS: 2002 NORTH STOCKTON HILL ROAD, SUITE 103, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-3303, FAX: (928) 753-3603, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2778, LICENSE: OTC3507, NAME: GILA HEALTH RESOURCES, L L C, LEGALLY: GILA HEALTH RESOURCES, LLC, ADDRESS: 401 BURRO ALLEY, CITY: MORENCI, STATE: AZ, ZIP: 85540, PHONE: (928) 865-7505, FAX: (928) 865-7571, CAPACITY: 0, COUNTY: GREENLEE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0224, LICENSE: H0101, NAME: MARYVALE HOSPITAL, LEGALLY: MARYVALE HOSPITAL, ADDRESS: 5102 WEST CAMPBELL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 848-5000, FAX: (623) 848-5553, CAPACITY: 232, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2783, LICENSE: HSPC3566, NAME: EVERCARE HOSPICE, INC, LEGALLY: EVERCARE HOSPICE, INC., ADDRESS: 2025 NORTH THIRD STREET, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 749-5900, FAX: (602) 749-5999, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0260, LICENSE: H0122, NAME: VERDE VALLEY MEDICAL CENTER, LEGALLY: VERDE VALLEY MEDICAL CENTER, ADDRESS: 269 SOUTH CANDY LANE, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6000, FAX: (928) 639-6070, CAPACITY: 110, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2709, LICENSE: OTC3851, NAME: PINAL COUNTY-SUPERIOR HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY-SUPERIOR HEALTH DEPARTMENT, ADDRESS: 60 EAST MAIN STREET, CITY: SUPERIOR, STATE: AZ, ZIP: 85273, PHONE: (520) 866-7309, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2738, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES, INC- NEUROLOGY, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES - NEUROLOGY, ADDRESS: 2480 EAST WILCOX, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-1133, FAX: (520) 417-4356, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2825, LICENSE: HSPC3589, NAME: HOSPICE OF THE VALLEY DOBSON HOME (031505), LEGALLY: HOSPICE OF THE VALLEY DOBSON HOME, ADDRESS: 1188 NORTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 786-1900, FAX: (480) 786-8849, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2809, LICENSE: HHA3554, NAME: SUPREME HOME CARE, LEGALLY: SUPREME HOME CARE, INC, ADDRESS: 2737 WEST BASELINE ROAD, SUITE #28, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (602) 454-0155, FAX: (602) 454-0156, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2578, LICENSE: OSC3540, NAME: ADVANCED LASER & SURGICENTER OF ARIZONA, LEGALLY: ADVANCED LASER & SURGICENTER OF ARIZONA, ADDRESS: 3303 EAST BASELINE ROAD, SUITE #104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 632-2020, FAX: (480) 632-2121, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2742, LICENSE: OTC5594, NAME: BANNER OCCUPATIONAL HEALTH CLINIC, LEGALLY: BANNER OCCUPATIONAL HEALTH CLINIC, ADDRESS: 2225 WEST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-3275, FAX: (480) 412-8760, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2795, LICENSE: HHA3549, NAME: VICTORY HOME CARE AGENCY, LEGALLY: VICTORY HOME CARE AGENCY, ADDRESS: 1212 NORTH SPENCER STREET, SUITE # 1, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 726-6553, FAX: (480) 726-3329, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3286, LICENSE: H0015, NAME: SOUTHEAST ARIZONA MEDICAL CENTER, LEGALLY: SOUTHEAST ARIZONA MEDICAL CENTER, ADDRESS: 2174 WEST OAK AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-7931, FAX: (520) 364-2551, CAPACITY: 25, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2764, LICENSE: OTC4389, NAME: ARROWHEAD LAKES DIALYSIS CENTER, LEGALLY: ARROWHEAD LAKES DIALYSIS CENTER, ADDRESS: 20325 NORTH 51ST AVENUE, BLDG 11, SUITE 184 & 186, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 533-6521, FAX: (623) 533-6579, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2827, LICENSE: HSPC3567, NAME: HSPC OF THE VALLEY'S FRIENDSHIP VILL PCU (031505), LEGALLY: HOSPICE OF THE VALLEY'S FRIENDSHIP VILLAGE PCU, ADDRESS: 2525 EAST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 14, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2539, LICENSE: HHA4712, NAME: MAXIM HEALTHCARE SERVICES, INC, LEGALLY: MAXIM HEALTHCARE SERVICES, INC, ADDRESS: 5151 EAST BROADWAY BOULEVARD, SUITE 750, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8200, FAX: (520) 514-2936, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2741, LICENSE: OTC5586, NAME: BANNER OCCUPATIONAL HEALTH CLINIC, LEGALLY: BANNER OCCUPATIONAL HEALTH CLINIC, ADDRESS: 5601 WEST EUGIE AVENUE, SUITE 213, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-5618, FAX: (602) 585-5828, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2800, LICENSE: OTC3551, NAME: PHYSIOTHERAPY ASSOCIATES-GILBERT (036596), LEGALLY: PHYSIOTHERAPY ASSOCIATES-GILBERT, ADDRESS: 1166 SOUTH GILBERT ROAD, SUITE 118, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 507-2024, FAX: (480) 539-4748, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2811, LICENSE: , NAME: SIERRA VISTA REGIONAL HLTH CNTR-OUTPT SURGERY CTR, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER INC. OUTPATIENT SURGERY CENTER, ADDRESS: 151 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3003, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2810, LICENSE: HSPC5224, NAME: CORNERSTONE HOSPICE, LEGALLY: CORNERSTONE HOSPICE, ADDRESS: 7310 NORTH 16TH STREET, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 263-0925, FAX: (602) 263-0929, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2749, LICENSE: OTC4859, NAME: INSIGHT IMAGING-FOUNTAINS WOMENS CENTER, LEGALLY: INSIGHT IMAGING-FOUNTAINS WOMENS CENTER, ADDRESS: 5620 WEST THUNDERBIRD ROAD, SUITE B-2, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 547-9405, FAX: (866) 634-8815, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2775, LICENSE: HHA3556, NAME: DEPENDABLE NURSES INC, LEGALLY: DEPENDABLE NURSES, INC., ADDRESS: 1120 SOUTH SWAN ROAD, SUITE A, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 721-3822, FAX: (520) 886-9604, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2740, LICENSE: OTC5589, NAME: BANNER OCCUPATIONAL HEALTH CLINIC, LEGALLY: BANNER OCCUPATIONAL HEALTH CLINIC, ADDRESS: 1300 NORTH 12TH STREET, SUITE 520, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-4456, FAX: (602) 839-3182, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2570, LICENSE: , NAME: COPPER QUEEN MEDICAL ASSOCIATES-DOUGLAS, LEGALLY: COPPER QUEEN MEDICAL ASSOCIATES-DOUGLAS, ADDRESS: 100 EAST 5TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-7659, FAX: (520) 432-1724, CAPACITY: 0, COUNTY: COCHISE TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2822, LICENSE: , NAME: COPPER QUEEN MEDICAL ASSOCIATES-BISBEE, LEGALLY: COPPER QUEEN MEDICAL ASSOCIATES-BISBEE, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-2042, FAX: (520) 432-7724, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2780, LICENSE: OTC4662, NAME: ABRAZO MEDICAL GROUP ANTHEM, LEGALLY: ABRAZO MEDICAL GROUP ANTHEM, ADDRESS: 41810 NORTH VENTURE DRIVE, BUILDING C, CITY: ANTHEM, STATE: AZ, ZIP: 85086, PHONE: (623) 551-2516, FAX: (623) 551-2486, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2584, LICENSE: OTC3370, NAME: CHIRICAHUA COMMUNITY HEALTH CENTER - BISBEE, LEGALLY: CHIRICAHUA COMMUNITY HEALTH CENTER - BISBEE, ADDRESS: 108 ARIZONA STREET, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-3309, FAX: (520) 432-3717, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037036, LICENSE: HHA0171, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, ADDRESS: 6400 EAST EL DORADO CIRCLE, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 731-1333, FAX: (520) 731-2722, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2840, LICENSE: HHA4088, NAME: AMERICAN PREMIER HOME HEALTH CARE, LEGALLY: AMERICAN PREMIER HOME HEALTH CARE, ADDRESS: 4029 NORTH 31ST AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 287-0003, FAX: (602) 287-0005, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2157, LICENSE: SH3034, NAME: BANNER HEART HOSPITAL, LEGALLY: BANNER HEART HOSPITAL, ADDRESS: 6750 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 854-5050, FAX: (480) 854-5011, CAPACITY: 111, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2848, LICENSE: NONE, NAME: TRANSRAY OF ARIZONA, LEGALLY: TRANSRAY OF ARIZONA, ADDRESS: 1351 NORTH PLEASANT, SUITE 105, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-5280, FAX: (480) 821-1765, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1685, LICENSE: OSC5620, NAME: BARNET DULANEY SURGERY CENTER - FLAGSTAFF, LEGALLY: BARNET DULANEY SURGERY CENTER - FLAGSTAFF, ADDRESS: 350 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-0500, FAX: (602) 508-4830, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2791, LICENSE: OSC3583, NAME: ARIZONA SURGICAL SPECIALISTS CENTER, LEGALLY: ARIZONA SURGICAL SPECIALISTS CENTER, LLC, ADDRESS: 1984 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 237-1234, FAX: (480) 237-1236, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2831, LICENSE: OTC3592, NAME: INSIGHT IMAGING-GATEWAY, LEGALLY: INSIGHT IMAGING-GATEWAY, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 225-0652, FAX: (602) 225-0920, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2613, LICENSE: HHA3582, NAME: GOOD SAMARITAN SOCIETY PRESCOTT HOME HEALTH, LEGALLY: GOOD SAMARITAN SOCIETY PRESCOTT HOME HEALTH, ADDRESS: 1065 RUTH STREET, SUITE 104, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-5655, FAX: (928) 445-2497, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2859, LICENSE: OTC3588, NAME: EL RIO NORTHWEST HEALTH CENTER, LEGALLY: EL RIO NORTHWEST HEALTH CENTER, ADDRESS: 320 WEST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 792-9890, FAX: (520) 309-2286, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2788, LICENSE: OTC3586, NAME: MRI OF ARIZONA, INC, LEGALLY: MRI OF ARIZONA, INC, ADDRESS: 701 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 294-9009, FAX: (602) 294-9012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2841, LICENSE: OTC5583, NAME: ARIZONA ADVANCED IMAGING CENTER, LEGALLY: ARIZONA ADVANCED IMAGING CENTER, ADDRESS: 4566 EAST INVERNESS DRIVE, SUITE 102, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 308-7718, FAX: (480) 308-7717, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2816, LICENSE: OTC5070, NAME: SLEEP TESTING AND RESPIRATORY SERVICES - WILMOT, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES - WILMOT, ADDRESS: 1951 NORTH WILMOT ROAD, BUILDING 1, UNIT 4, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2839, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES, INC - SURGERY, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC- SURGERY, ADDRESS: 155 CALLE PORTAL, SUITE 400, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0229, FAX: (520) 458-1038, CAPACITY: 0, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2878, LICENSE: FED ONLY, NAME: KAIBETO HEALTH CLINIC, LEGALLY: KAIBETO HEALTH CLINIC, ADDRESS: BOX 2121, CITY: KAIBITO, STATE: AZ, ZIP: 86053, PHONE: (520) 673-3491, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2879, LICENSE: FED ONLY, NAME: LAKE POWELL MED CENTER CHILCHINBETO CLINIC, LEGALLY: LAKE POWELL MED CENTER CHILCHINBETO CLINIC, ADDRESS: PO BOX 1496, ROUTE 59, CITY: BABY ROCK, STATE: AZ, ZIP: 86033, PHONE: (520) 697-8154, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: NAVAJO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2880, LICENSE: NONE, NAME: NW AZ RHC LAKE POWELL MEDICAL CENTER, LEGALLY: NW AZ RHC LAKE POWELL MEDICAL CENTER, ADDRESS: PO BOX 490, 1-15 EXIT 9, CITY: GREENEHAVEN, STATE: AZ, ZIP: 86040, PHONE: (520) 347-5971, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2881, LICENSE: NONE, NAME: COMMUNITY HEALTH CENTER OF WEST YAVAPAI, LEGALLY: COMMUNITY HEALTH CENTER OF WEST YAVAPAI, ADDRESS: 930 DIVISION STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-3122, FAX: (928) 771-3379, CAPACITY: 0, COUNTY: YAVAPAI TYPE: ORGAN PROCUREMENT ORGANIZATIONS, SUBTYPE: OPO, ID: MED2877, LICENSE: FED ONLY, NAME: DONOR NETWORK OF ARIZONA, LEGALLY: DONOR NETWORK OF ARIZONA, ADDRESS: 201 WEST COOLIDGE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 222-2200, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2812, LICENSE: , NAME: ARIZONA PORTABLE IMAGING, LEGALLY: ARIZONA PORTABLE IMAGING, ADDRESS: 2011 WEST MULBERRY DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 434-3593, FAX: (602) 294-9729, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2754, LICENSE: OSC3599, NAME: ARIZONA SKIN CANCER SURGERY CENTER P C, LEGALLY: ARIZONA SKIN CANCER SURGERY CENTER P. C., ADDRESS: 5980 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 887-3333, FAX: (520) 203-0224, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2829, LICENSE: OTC3598, NAME: INSIGHT IMAGING-OPEN MRI OF EAST MESA, LEGALLY: INSIGHT IMAGING-EAST MESA, ADDRESS: 6402 EAST SUPERSTITION SPRINGS BLVD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 731-3200, FAX: (480) 731-4717, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2845, LICENSE: , NAME: CHILDREN'S HEALTH CENTER/ ADOLESCENT HEALTH PARTNE, LEGALLY: CHILDREN'S HEALTH CENTER/ ADOLESCENT HEALTH PARTNERSHIP, ADDRESS: 715 WEST MARIPOSA STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6479, FAX: (602) 406-4176, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2842, LICENSE: HSPC4079, NAME: HSPC OF AZ IPU-SUN HLTH DEL E WEBB (INPT)(031525), LEGALLY: HOSPICE OF ARIZONA IPU SUN HEALTH DEL E. WEBB, ADDRESS: 19702 NORTH ROUTZAHN WAY, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 815-2800, FAX: (623) 977-2868, CAPACITY: 12, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2843, LICENSE: HSPC3613, NAME: HOSPICE COMPASSUS-PAYSON (031523), LEGALLY: HOSPICE COMPASSUS-PAYSON, ADDRESS: 511 SOUTH MUDSPRING ROAD, SUITE #2, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-6340, FAX: (928) 468-2120, CAPACITY: 7, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2817, LICENSE: OTC3639, NAME: NEXTCARE URGENT CARE-LAKE PLEASANT, LEGALLY: NEXTCARE URGENT CARE - LAKE PLEASANT, ADDRESS: 20470 NORTH LAKE PLEASANT ROAD, SUITE 102, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 825-4600, FAX: (623) 825-0231, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2818, LICENSE: OSC3647, NAME: NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, LEGALLY: NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, ADDRESS: 9439 EAST IRONWOOD SQUARE DRIVE, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 355-3750, FAX: (480) 355-3753, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2828, LICENSE: , NAME: JOHN C LINCOLN NORTH MOUNTAIN COWDEN CTR- OUTPT PR, LEGALLY: JOHN C LINCOLN NORTH MOUNTAIN COWDEN CENTER- OUTPATIENT PROGRAMS, ADDRESS: 9202 NORTH 2ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 943-2381, FAX: (602) 678-0028, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2835, LICENSE: , NAME: BANNER BOSWELL MEDICAL CTR- BANNER LAKES IMAGING C, LEGALLY: BANNER BOSWELL MEDICAL CENTER- BANNER LAKES IMAGING CENTER, ADDRESS: 10474 WEST THUNDERBIRD ROAD, SUITE 100, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-5316, FAX: (623) 876-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2838, LICENSE: HHA3650, NAME: HAGGAI HEALTHCARE CORP, LEGALLY: HAGGAI HEALTHCARE CORP, ADDRESS: 4531 NORTH 16TH STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 943-5963, FAX: (602) 943-4516, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2862, LICENSE: OTC4391, NAME: GILBERT DIALYSIS CENTER, LEGALLY: GILBERT DIALYSIS CENTER, ADDRESS: 5222 EAST BASELINE ROAD, SUITE 104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 832-6996, FAX: (480) 832-7337, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2866, LICENSE: OTC3610, NAME: ORTIZ COMMUNITY HEALTH CENTER, LEGALLY: ORTIZ COMMUNITY HEALTH CENTER, ADDRESS: 12635 WEST RUDASILL ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 682-3777, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2869, LICENSE: OTC5579, NAME: FORUM AT DESERT HARBOR, THE, LEGALLY: FORUM AT DESERT HARBOR, THE, ADDRESS: 13836 NORTH DESERT HARBOR DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 972-0995, FAX: (623) 977-5271, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2872, LICENSE: OTC3612, NAME: PHYSIOTHERAPY ASSOCIATES-AVONDALE (036588), LEGALLY: PHYSIOTHERAPY ASSOCIATES-AVONDALE, ADDRESS: 13055 WEST MCDOWELL ROAD, SUITE G-107, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 547-4787, FAX: (623) 547-4788, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2888, LICENSE: OSC3634, NAME: KOKOPELLI EYE CARE PRESCOTT, LEGALLY: KOKOPELLI EYE CARE PRESCOTT, ADDRESS: 412 WHIPPLE STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-9000, FAX: (928) 771-9460, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2776, LICENSE: OTC3608, NAME: ALTAR VALLEY HEALTH & WELLNESS CENTER-MIDDLESCHOOL, LEGALLY: ALTAR VALLEY HEALTH & WELLNESS CENTER-MIDDLESCHOOL, ADDRESS: 16350 WEST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85736, PHONE: (520) 822-9343, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2895, LICENSE: OTC3693, NAME: STATCLINIX - NORTHSIGHT (URGENT CARE CENTER), LEGALLY: STATCLINIX NORTHSIGHT, ADDRESS: 15223 NORTH 87TH STREET, SUITE 110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 682-4100, FAX: (480) 682-4101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2903, LICENSE: OTC3625, NAME: COCHISE HEALTH AND SOCIAL SERVICES BENSON, LEGALLY: COCHISE COUNTY, ADDRESS: 126 WEST 5TH STREET, CITY: BENSON, STATE: AZ, ZIP: 85602, PHONE: (520) 586-8200, FAX: (520) 586-2051, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2765, LICENSE: OTC3627, NAME: DESERT FOOTHILLS MEDICAL CENTER URGENT CARE, LEGALLY: DESERT FOOTHILLS MEDICAL CENTER URGENT CARE, ADDRESS: 36889 NORTH TOM DARLINGTON DRIVE SUITE A-911, CITY: CAREFREE, STATE: AZ, ZIP: 85377, PHONE: (480) 488-9220, FAX: (480) 488-7014, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2914, LICENSE: HHA3590, NAME: TEAMSELECT HOME CARE, LEGALLY: TEAMSELECT HOME CARE, ADDRESS: 668 NORTH 44TH STREET, SUITE 227E, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 382-8500, FAX: (602) 253-5656, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2899, LICENSE: HHA3642, NAME: HORIZON HOME HEALTH OF PHOENIX, LEGALLY: HORIZON HOME HEALTH OF PHOENIX, ADDRESS: 7500 DREAMY DRAW DRIVE, SUITE 225, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (480) 894-5113, FAX: (480) 894-5134, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2924, LICENSE: HSPC3646, NAME: CROSSING HOSPICE CARE, THE, LEGALLY: CROSSING HOSPICE CARE, THE, ADDRESS: 7500 NORTH DREAMY DRAW DRIVE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 216-0330, FAX: (602) 216-0550, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3003, LICENSE: FED ONLY, NAME: WHITERIVER PHS INDIAN HOSPITAL, LEGALLY: DHEW IND HLTH SV, HLTH SV & MNTH HLTH ADM, ADDRESS: 200 WEST HOSPITAL DRIVE (PO BOX 860), CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (928) 338-4911, FAX: (928) 338-3530, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2922, LICENSE: HSPC5324, NAME: HOSPICE OF THE SOUTHWEST, LEGALLY: HOSPICE OF THE SOUTHWEST, ADDRESS: 450 NORTH DOBSON, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 456-9300, FAX: (480) 456-9696, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2856, LICENSE: OSC5083, NAME: DESERT ENDOSCOPY CENTER, LEGALLY: DESERT ENDOSCOPY CENTER, ADDRESS: 610 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 969-0405, FAX: (480) 969-2280, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2893, LICENSE: OTC3654, NAME: URGENT CARE EXTRA-GILBERT, LEGALLY: EAST VALLEY URGENT CARE-GILBERT, ADDRESS: 641 WEST WARNER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 722-9828, FAX: (480) 722-9831, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2886, LICENSE: OSC3662, NAME: GILBERT HEALTHCARE CENTER ENDOSCOPY SUITE, LEGALLY: GILBERT HEALTHCARE CENTER ENDOSCOPY SUITE, ADDRESS: 4001 EAST BASELINE ROAD, SUITE #102, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 371-2461, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0192, LICENSE: RGH3899, NAME: SAGE MEMORIAL HOSPITAL, LEGALLY: SAGE MEMORIAL HOSPITAL, ADDRESS: STATE ROUTE 264 SOUTH 191 PO BOX 457, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 755-4559, FAX: (928) 755-4659, CAPACITY: 25, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2930, LICENSE: OTC3705, NAME: STI PHYSICAL THERAPY & REHAB-NORTH PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-NORTH PHOENIX, ADDRESS: 17233 NORTH HOLMES BOULEVARD, SUITE 1650, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2952, LICENSE: OTC3724, NAME: WHITE MOUNTAIN IMAGING, LEGALLY: WHITE MOUNTAIN IMAGING, LLC, ADDRESS: 5448 SOUTH HIGHWAY 260, SUITE 110, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 537-2077, FAX: (928) 537-5282, CAPACITY: 0, COUNTY: NAVAJO TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2790, LICENSE: OSC3661, NAME: J D STUART, M D P C, LEGALLY: J D STUART M D P C, ADDRESS: 4721 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-8700, FAX: (520) 795-8850, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2900, LICENSE: OTC3691, NAME: OPEN MRI SOLUTIONS, LEGALLY: OPEN MRI SOLUTIONS, LLC, ADDRESS: 4130 EAST VAN BUREN STREET, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 244-2442, FAX: (602) 244-2445, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2908, LICENSE: OSC3677, NAME: DESERT SUN SURGERY CENTER, LEGALLY: DESERT SUN SURGERY CENTER, ADDRESS: 7140 EAST ROSEWOOD, SUITE A, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 547-4600, FAX: (520) 547-4605, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2919, LICENSE: OTC3678, NAME: PRIMECARE VALLEY, LEGALLY: PRIMECARE VALLEY, ADDRESS: 2377 SOUTH 22ND DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-0488, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2926, LICENSE: , NAME: SURGERY CLINIC, LEGALLY: SURGERY CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 400, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3800, FAX: (602) 406-3810, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2961, LICENSE: HHA3699, NAME: FIRSTAT HOME HEALTH SERVICES, LEGALLY: FIRSTAT HOME HEALTH SERVICES,LLC, ADDRESS: 7310 NORTH 16TH STREET, SUITE 135, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 279-0000, FAX: (602) 279-6666, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2918, LICENSE: OTC3676, NAME: PRIMECARE 24 FOOTHILLS CAMPUS, LEGALLY: PRIMECARE 24 FOOTHILLS CAMPUS, ADDRESS: 11142 SOUTH SCOTTSDALE DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 343-0488, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2967, LICENSE: OTC3687, NAME: GOOD NIGHT PEDIATRICS OF AVONDALE (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS OF AVONDALE, ADDRESS: 10320 WEST MCDOWELL ROAD, BLDG L, BOX 1240, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2991, LICENSE: HHA3726, NAME: COZY HOME HEALTH CARE, LEGALLY: COZY HOME HEALTH CARE, INC., ADDRESS: 1930 SOUTH ALMA SCHOOL ROAD, SUITE D-103, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (602) 978-4663, FAX: (602) 978-9079, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2913, LICENSE: , NAME: PAYSON REGIONAL MEDICAL CENTER REHAB SERVICES, LEGALLY: PAYSON REGIONAL MEDICAL CENTER REHABILITATION SERVICES, ADDRESS: 126 EAST MAIN STREET, SUITE C, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-5230, FAX: (928) 472-3446, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2977, LICENSE: HHA3698, NAME: ALL AT HOME HEALTH CARE, LEGALLY: ALL AT HOME HEALTH CARE, ADDRESS: 16601 NORTH 40TH STREET, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 970-3700, FAX: (480) 970-3707, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2984, LICENSE: OTC3703, NAME: DERMA HEALTH INSTITUTE OF CHANDLER, LEGALLY: DERMA HEALTH INSTITUTE OF CHANDLER, ADDRESS: 2905 WEST WARNER ROAD, SUITE 17, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 730-9000, FAX: (480) 831-7633, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3002, LICENSE: OTC3730, NAME: FREEDOM PARK HEALTH CENTER, LEGALLY: FREEDOM PARK HEALTH CENTER, ADDRESS: 5000 EAST 29TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8500, FAX: (520) 790-8505, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3021, LICENSE: HSPC3721, NAME: HOSPICE OF THE PINES, LEGALLY: HOSPICE OF THE PINES, ADDRESS: 13175 EAST HIGHWAY 169, CITY: DEWEY, STATE: AZ, ZIP: 86327, PHONE: (928) 632-0111, FAX: (928) 632-0333, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3005, LICENSE: FED ONLY, NAME: FORT DEFIANCE INDIAN HOSPITAL, LEGALLY: PHS INDIAN HOSPITAL, ADDRESS: PO BOX 649, CITY: FORT DEFIANCE, STATE: AZ, ZIP: 86504, PHONE: (928) 729-8000, FAX: (602) 263-1618, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3006, LICENSE: FED ONLY, NAME: TUBA CITY REGIONAL HEALTH CARE CORPORATION, LEGALLY: TUBA CITY REGIONAL HEALTH CARE CORPORATION, ADDRESS: PO BOX 600, CITY: TUBA CITY, STATE: AZ, ZIP: 86045, PHONE: (928) 283-2501, FAX: (928) 283-2828, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3009, LICENSE: FED ONLY, NAME: HUHU KAM MEMORIAL HOSPITAL, LEGALLY: GILA RIVER HEALTH CARE CORPORATION, ADDRESS: 483 WEST SEED FARM ROAD, CITY: SACATON, STATE: AZ, ZIP: 85147, PHONE: (520) 562-3321, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3010, LICENSE: FED ONLY, NAME: HOPI HEALTH CARE CENTER, LEGALLY: DHHS IHS PHOENIX AREA, ADDRESS: HIGHWAY 264, MILEPOST 388, CITY: POLACCA, STATE: AZ, ZIP: 86042, PHONE: (928) 737-6000, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3011, LICENSE: FED ONLY, NAME: PARKER INDIAN HEALTH CENTER, LEGALLY: COLORADO RIVER SERVICE UNIT, INDIAN HEALTH SERVICE, ADDRESS: 12033 AGENCY ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-3130, FAX: (928) 669-3131, CAPACITY: 0, COUNTY: LA PAZ TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3012, LICENSE: FED ONLY, NAME: SELLS INDIAN HEALTH SERVICE HOSPITAL, LEGALLY: DHHS PHS IHS TUCSON AREA IHS TUCSON, ADDRESS: PO BOX 548, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-7200, FAX: (520) 383-7325, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3013, LICENSE: FED ONLY, NAME: PHOENIX INDIAN MEDICAL CENTER, LEGALLY: IHS PHOENIX INDIAN MEDICAL CENTER, ADDRESS: 4212 NORTH 16TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 263-1200, FAX: (602) 263-1618, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3014, LICENSE: FED ONLY, NAME: SAN CARLOS INDIAN HOSPITAL, LEGALLY: DHEW IND HLTH SVCS & MNTL HLTH, ADDRESS: 223 CIBECUE CIRCLE ROAD, CITY: SAN CARLOS, STATE: AZ, ZIP: 85550, PHONE: (928) 475-7347, FAX: (928) 475-7370, CAPACITY: 0, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3025, LICENSE: HSPC3729, NAME: HOSPICE COMPASSUS-SEDONA/FLAGSTAFF, LEGALLY: HOSPICE COMPASSUS-SEDONA/FLAGSTAFF, ADDRESS: 70 BELL ROCK PLAZA, SUITE A, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 284-0180, FAX: (928) 284-9352, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2928, LICENSE: OSC5385, NAME: CHANDLER ENDOSCOPY CENTER, LEGALLY: CHANDLER ENDOSCOPY CENTER, ADDRESS: 2095 WEST PECOS ROAD, SUITE 1, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-6655, FAX: (480) 786-6996, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2833, LICENSE: OTC3728, NAME: INSIGHT IMAGING-BILTMORE, LEGALLY: INSIGHT IMAGING-BILTMORE, ADDRESS: 2141 EAST CAMELBACK ROAD, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 954-0954, FAX: (602) 954-6018, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3018, LICENSE: OTC3817, NAME: WEST BASELINE FAMILY MEDICINE CENTER, LEGALLY: WEST BASELINE FAMILY MEDICINE CENTER, ADDRESS: 5130 WEST BASELINE ROAD, SUITE 102-103, CITY: LAVEEN, STATE: AZ, ZIP: 85339, PHONE: (602) 237-0039, FAX: (602) 237-7824, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3004, LICENSE: HSPC3710, NAME: AMERICARE HOSPICE AND PALLIATIVE CARE, LEGALLY: AMERICARE HOSPICE AND PALLIATIVE CARE, ADDRESS: 1212 NORTH SPENCER STREET, SUITE # 1, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 726-7773, FAX: (480) 726-7790, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3026, LICENSE: OTC3735, NAME: HERITAGE HEALTH CARE CENTER, LEGALLY: HERITAGE HEALTH CARE CENTER, ADDRESS: 1300 SOUTH STREET, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3118, FAX: (928) 425-0707, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2935, LICENSE: OTC3708, NAME: STI PHYSICAL THERAPY & REHAB-ARCADIA, LEGALLY: STI PHYSICAL THERAPY & REHAB-ARCADIA, ADDRESS: 4840 EAST INDIAN SCHOOL ROAD, SUITE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 956-2850, FAX: (602) 956-2877, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2933, LICENSE: OTC3706, NAME: STI PHYSICAL THERAPY & REHAB-SUN CITY, LEGALLY: STI PHYSICAL THERAPY & REHAB-SUN CITY, ADDRESS: 14802 NORTH DEL WEBB BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2985, LICENSE: OTC4868, NAME: TRUE REHAB OF ARIZONA, LLC, LEGALLY: TRUER REHAB OF ARIZONA, LLC, ADDRESS: 297 SOUTH LAKE HAVASU AVENUE, SUITE #102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-0501, FAX: (928) 453-0502, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3034, LICENSE: HSPC3752, NAME: GRANITE MOUNTAIN HOSPICE, LEGALLY: GRANITE MOUNTAIN HOME CARE & HOSPICE, ADDRESS: 3107 CLEARWATER DRIVE SUITE B, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-2522, FAX: (928) 445-1910, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2937, LICENSE: OTC3715, NAME: STI PHYSICAL THERAPY & REHAB-MESA, LEGALLY: STI PHYSICAL THERAPY & REHAB-MESA, ADDRESS: 1941 WEST GUADALUPE ROAD, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 491-3563, FAX: (480) 491-3572, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2989, LICENSE: HSPC3731, NAME: SERENITY HOSPICE & PALLIATIVE CARE, LEGALLY: SERENITY HOSPICE & PALLIATIVE CARE, ADDRESS: 7227 NORTH 16TH STREET, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 216-2273, FAX: (602) 443-5398, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0247, LICENSE: RGH0076, NAME: LITTLE COLORADO MEDICAL CENTER, LEGALLY: LITTLE COLORADO MEDICAL CENTER, ADDRESS: 1501 NORTH WILLIAMSON AVENUE, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-4691, FAX: (928) 289-3855, CAPACITY: 25, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2968, LICENSE: NONE, NAME: MCDOWELL AMBULATORY SURGERY CENTER, LLC, LEGALLY: MCDOWWLL AMBULATORY SURGERY CENTER, LLC, ADDRESS: 1301 EAST MCDOWELL ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 265-8800, FAX: (602) 265-8151, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2976, LICENSE: OSC4437, NAME: NORTHWEST TUCSON SURGERY CENTER, LP, LEGALLY: NORTHWEST TUCSON SURGERY CENTER, L P, ADDRESS: 6320 NORTH LA CHOLLA BOULEVARD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 877-6700, FAX: (520) 544-0195, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2979, LICENSE: OTC3738, NAME: FRESENIUS MEDICAL CARE OF AVONDALE, LEGALLY: FRESENIUS MEDICAL CARE OF AVONDALE, ADDRESS: 10750 WEST MCDOWELL ROAD, BUILDING E-500, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 643-9334, FAX: (623) 643-9332, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3027, LICENSE: HHA3734, NAME: MGA HOME HEALTHCARE, LLC -TUCSON, LEGALLY: MGA HOME HEALTHCARE, LLC-TUCSON, ADDRESS: 4400 EAST BROADWAY BOULEVARD, SUITE #414, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 323-0200, FAX: (520) 326-0935, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3045, LICENSE: HSPC3842, NAME: INFINITY HOSPICE CARE, LLC, LEGALLY: INFINITY HOSPICE CARE, LLC, ADDRESS: 5110 NORTH 40TH STREET, SUITE 107, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 381-0375, FAX: (602) 381-0385, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2992, LICENSE: OSC3737, NAME: NORTH VALLEY OUTPATIENT SURGERY CENTER, LEGALLY: NORTH VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 20950 NORTH TATUM BOULEVARD, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 991-6877, FAX: (480) 991-6615, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2956, LICENSE: HSPC3739, NAME: VALOR HOSPICE CARE, LLC, LEGALLY: VALOR HOSPICE CARE, LLC, ADDRESS: 1860 EAST RIVER ROAD, SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 615-3996, FAX: (520) 615-3998, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2969, LICENSE: OTC5187, NAME: DSI AVONDALE RENAL CENTER, LEGALLY: DSI AVONDALE RENAL CENTER, ADDRESS: 13055 WEST MCDOWELL ROAD, SUITE F-101, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 935-5460, FAX: (623) 935-5465, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2966, LICENSE: OSC3616, NAME: ARIZONA DIGESTIVE CENTER, LEGALLY: ARIZONA DIGESTIVE CENTER, ADDRESS: 8761 EAST BELL ROAD, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 419-7500, FAX: (480) 419-2700, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2947, LICENSE: NONE, NAME: GILA RIVER DIALYSIS WEST, LEGALLY: GILA RIVER DIALYSIS WEST, ADDRESS: 9721 WEST PECOS ROAD, CITY: LAVEEN, STATE: AZ, ZIP: 85339, PHONE: (602) 271-7950, FAX: (480) 620-9206, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3031, LICENSE: OTC5337, NAME: BANNER CHILDREN'S SPECIALISTS, LEGALLY: BANNER CHILDREN'S SPECIALISTS, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 380, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4144, FAX: (623) 327-4140, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3039, LICENSE: OTC4673, NAME: SLEEP HEALTHCENTERS- MESA, LEGALLY: SLEEP HEALTHCENTERS- MESA, ADDRESS: 215 SOUTH POWER ROAD, SUITE 205, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (978) 774-7243, FAX: (480) 991-0439, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3040, LICENSE: OTC4120, NAME: SLEEP HEALTHCENTERS, LEGALLY: SLEEP HEALTHCENTERS, ADDRESS: 10611 NORTH HAYDEN ROAD, SUITE D-102, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (978) 774-7243, FAX: (978) 774-7421, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3042, LICENSE: OTC5593, NAME: BANNER OCCUPATIONAL HEALTH CLINIC, LEGALLY: BANNER OCCUPATIONAL HEALTH CLINIC, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 235, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4100, FAX: (623) 327-4170, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3063, LICENSE: NONE, NAME: TRI-VALLEY MEDICAL CENTER, LEGALLY: TRI-VALLEY MEDICAL CENTER, ADDRESS: 39726 HARQUAHALA ROAD, BOX 85, CITY: SALOME, STATE: AZ, ZIP: 85348, PHONE: (928) 849-3460, FAX: (928) 669-7417, CAPACITY: 0, COUNTY: LA PAZ TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3024, LICENSE: OTC3743, NAME: SUN LIFE FAMILY HEALTH CTR INC-ORACLE SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - ORACLE SATELLITE, ADDRESS: 1870 WEST AMERICAN WAY, CITY: ORACLE, STATE: AZ, ZIP: 85623, PHONE: (520) 896-2092, FAX: (520) 896-2449, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2901, LICENSE: OSC4215, NAME: SEDONA SURGERY CENTER, LLC, LEGALLY: SEDONA SURGERY CENTER, LLC, ADDRESS: 95 SOLDIER PASS, SUITE A-2, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 203-1177, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2950, LICENSE: OSC3745, NAME: BANNER ESTRELLA SURGERY CENTER, LEGALLY: BANNER ESTRELLA SURGERY CENTER, ADDRESS: ESTRELLA MEDICAL PLAZA I, 9301 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 388-5701, FAX: (623) 478-7999, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED2277, LICENSE: RGH3505, NAME: WICKENBURG COMMUNITY HOSPITAL, LEGALLY: WICKENBURG COMMUNITY HOSPITAL, ADDRESS: 520 ROSE LANE, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 19, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3022, LICENSE: OTC3755, NAME: NEXTCARE URGENT CARE-DANA LANDING, LEGALLY: NEXTCARE URGENT CARE-DANA LANDING, ADDRESS: 3130 EAST BASELINE ROAD, SUITE 105, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2999, LICENSE: OTC5571, NAME: SIMONMED IMAGING- AHWATUKEE, LEGALLY: SIMONMED IMAGING- AHWATUKEE, ADDRESS: 15810 SOUTH 45TH STREET, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 753-6161, FAX: (480) 753-6762, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3000, LICENSE: OTC5567, NAME: SIMONMED IMAGING- CHANDLER SOUTH CAMPUS, LEGALLY: SIMONMED IMAGING- CHANDLER SOUTH CAMPUS, ADDRESS: 725 SOUTH DOBSON ROAD, SUITE 105, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 812-1705, FAX: (480) 812-1706, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3073, LICENSE: FED ONLY, NAME: FT APACHE P H S INDIAN HOSP, LEGALLY: FORT APACHE PHS INDIAN HOSPITAL, ADDRESS: UNKNOWN ADDRESS, CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (602) 444-4444, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3078, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP - CLOSED, LEGALLY: US AIR FORCE HOSPITAL-GLENDALE - CLOSED, ADDRESS: LUKE AFB, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (602) 111-1111, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3079, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP, LEGALLY: US AIR FORCE HOSPITAL-TUCSON, ADDRESS: DAVIS-MONTHAN AFB, CITY: TUCSON, STATE: AZ, ZIP: 85707, PHONE: (520) 111-1111, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3080, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP, LEGALLY: US AIR FORCE HOSPITAL-CHANDLER, ADDRESS: WILLIAMS AFB, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (000) 111-2222, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3082, LICENSE: FED ONLY, NAME: US ARMY HOSP, LEGALLY: US ARMY HOSPITAL-FT HUACHUCA, ADDRESS: *, CITY: FORT HUACHUCA, STATE: AZ, ZIP: 85613, PHONE: (520) 444-4444, FAX: , CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3081, LICENSE: FED ONLY, NAME: US ARMY HOSP, LEGALLY: US ARMY HOSPITAL-YUMA, ADDRESS: YUMA PROVING GROUNDS, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (602) 333-3333, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3083, LICENSE: FED ONLY, NAME: US PHS WINSLOW INDIAN HOSP, LEGALLY: US PHS WINSLOW INDIAN HOSPITAL, ADDRESS: *, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (602) 444-4444, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3084, LICENSE: FED ONLY, NAME: VA HOSP, LEGALLY: VETERANS HOSPITAL-WHIPPLE, ADDRESS: *, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (602) 555-5555, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3086, LICENSE: FED ONLY, NAME: VA HOSP CARL T HAYDEN VA MEDICAL CENTER, LEGALLY: HOSPITAL - INDIAN SCHOOL ROAD, ADDRESS: 650 EAST INDIAN SCHOOL RD, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 277-5551, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3085, LICENSE: FED ONLY, NAME: VA HOSP SOUTHERN ARIZONA HEALTHCARE SYSTEM, LEGALLY: HOSPITAL - 6TH AVENUE, ADDRESS: 3601 S 6TH AVE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 792-1450, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3087, LICENSE: FED ONLY, NAME: VA HOSPITAL NORTHERN ARIZONA HEALTHCARE SYSTEM, LEGALLY: HOSPITAL-PRESCOTT, ADDRESS: 500 HIGHWAY 89 NORTH, CITY: PRESCOTT, STATE: AZ, ZIP: 86313, PHONE: (520) 445-4860, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2996, LICENSE: OTC4858, NAME: INSIGHT IMAGING-ARROWHEAD, LEGALLY: INSIGHT IMAGING-ARROWHEAD, ADDRESS: 6320 WEST UNION HILLS DRIVE, SUITE 120, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 939-9919, FAX: (866) 634-8815, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2997, LICENSE: OTC4857, NAME: INSIGHT IMAGING-GOODYEAR, LEGALLY: INSIGHT IMAGING-GOODYEAR, ADDRESS: 13065 WEST MCDOWELL ROAD, SUITE B-108, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 889-0999, FAX: (866) 634-8815, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3020, LICENSE: HHA3767, NAME: ANGELS PRN, INC, LEGALLY: ANGELS PRN, INC, ADDRESS: 2755 SOUTH 4TH AVENUE, BLDG 3, SUITE 101, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 726-9163, FAX: (928) 726-1040, CAPACITY: 0, COUNTY: YUMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3052, LICENSE: OTC4390, NAME: TEMPE DIALYSIS CENTER, LEGALLY: TEMPE DIALYSIS CENTER, ADDRESS: 2149 EAST WARNER ROAD, SUITE 110, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 610-6170, FAX: (480) 610-6179, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3069, LICENSE: NONE, NAME: VERDE VALLEY WELLNESS CENTER, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, ADDRESS: 10 SOUTH 6TH STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-8130, FAX: (928) 639-8179, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2970, LICENSE: OTC3788, NAME: CANYON PEDIATRICS, LEGALLY: CANYON PEDIATRICS, INC., ADDRESS: 2451 EAST BASELINE ROAD, SUITE 200, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 507-2199, FAX: (480) 649-3416, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2946, LICENSE: NONE, NAME: GILA RIVER DIALYSIS EAST, LEGALLY: GILA RIVER DIALYSIS EAST, ADDRESS: 565 WEST SEED FARM ROAD, CITY: SACATON, STATE: AZ, ZIP: 85247, PHONE: (602) 271-7900, FAX: (480) 602-6209, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3061, LICENSE: OSC4806, NAME: NORTH VALLEY SURGERY CENTER, LEGALLY: NORTH VALLEY SURGERY CENTER, ADDRESS: 9522 EAST SAN SALVADOR, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 767-2100, FAX: (480) 767-2117, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED3109, LICENSE: NONE, NAME: SCHRYVER MEDICAL SALES & MARKETING, LEGALLY: SCHRYVER MEDICAL SALES & MARKETING, INC., ADDRESS: 5050 SOUTH 40TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (800) 638-3240, FAX: (303) 785-9326, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3135, LICENSE: , NAME: 3T MRI, LEGALLY: 3T MRI, ADDRESS: 1485 NORTH TURQUOISE DRIVE, CITY: EAST FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-7757, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0251, LICENSE: H0152, NAME: NORTHWEST MEDICAL CENTER, LEGALLY: NORTHWEST MEDICAL CENTER, ADDRESS: 6200 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-9000, FAX: (520) 469-8101, CAPACITY: 300, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2898, LICENSE: OTC3628, NAME: INSIGHT IMAGING-THUNDERBIRD MRI & PET CENTER-D 2, LEGALLY: INSIGHT IMAGING-THUNDERBIRD MRI & PET CENTER-D 2, ADDRESS: 6591 WEST THUNDERBIRD ROAD, SUITE D 2, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 412-9725, FAX: (623) 412-3830, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3062, LICENSE: OSC3807, NAME: DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER-AZ, LEGALLY: DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER-AZ, ADDRESS: 8573 EAST PRINCESS DRIVE, SUITE #117, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 563-5757, FAX: (480) 563-5851, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3108, LICENSE: OTC5652, NAME: DIAGNOSTIC HEALTH SERVICES-THUNDERBIRD OFFICE, LEGALLY: DIAGNOSTIC HEALTH SERVICES-THUNDERBIRD OFFICE, ADDRESS: 17505 NORTH 79TH AVENUE, SUITE 208, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 878-5650, FAX: (623) 878-5670, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2982, LICENSE: , NAME: PHOENIX CHILDREN'S OUTPATIENT SPECIALTY CARE CENTE, LEGALLY: PHOENIX CHILDREN'S OUTPATIENT SPECIALTY CARE CENTER, ADDRESS: 1919 EAST THOMAS ROAD, BUILDING B, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 123-4567, FAX: (602) 546-0392, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3001, LICENSE: OTC4102, NAME: NORTHSIDE MEDICAL CLINIC WALK-IN (URGENT CARE), LEGALLY: NORTHSIDE MEDICAL CLINIC WALK-IN, ADDRESS: 1394 WEST 16TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 539-0055, FAX: (902) 539-0053, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3041, LICENSE: OTC3862, NAME: MODERN DIAGNOSTIC IMAGING, LEGALLY: MODERN DIAGNOSTIC IMAGING, ADDRESS: 600 SOUTH DOBSON, SUITE B-16, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 445-9961, FAX: (480) 445-9972, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3048, LICENSE: OTC4565, NAME: SELECT PHYSICAL THERAPY-SOSSAMAN (EXT OF 036574), LEGALLY: SELECT PHYSICAL THERAPY-SOSSAMAN, ADDRESS: 2853 SOUTH SOSSAMAN, SUITE A 106, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 373-9700, FAX: (480) 373-9800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3051, LICENSE: OTC3776, NAME: NORTH PHOENIX MEDICAL CLINIC (JCL), LEGALLY: NORTH PHOENIX MEDICAL CLINIC, ADDRESS: 9100 NORTH 2ND STREET, SUITE 121, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 997-7331, FAX: (602) 870-4512, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3055, LICENSE: OTC4891, NAME: PASSPORT HEALTH- ARROWHEAD, LEGALLY: PASSPORT HEALTH- ARROWHEAD, ADDRESS: 18301 NORTH 79TH AVE SUITE D-148, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3054, LICENSE: OTC4484, NAME: SELECT PHYSICAL THERAPY-AVONDALE (036560), LEGALLY: SELECT PHYSICAL THERAPY-AVONDALE, ADDRESS: 10750 WEST MCDOWELL ROAD, SUITE B210, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 907-0746, FAX: (623) 907-0756, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3067, LICENSE: OTC4790, NAME: INFINITY SLEEP SOLUTIONS, LEGALLY: INFINITY SLEEP SOLUTIONS, ADDRESS: 15640 NORTH 7TH STREET, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 942-3777, FAX: (602) 942-2722, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3136, LICENSE: OSC3830, NAME: SUN CITY WEST AMBULATORY SURGERY CENTER, LEGALLY: SUN CITY WEST AMBULATORY SURGERY CENTER, ADDRESS: 14416 WEST MEEKER BOULEVARD, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 583-5280, FAX: (623) 583-5277, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3140, LICENSE: OTC4278, NAME: PAYSON SLEEP SERVICES, LEGALLY: PAYSON SLEEP SERVICES, ADDRESS: 404 WEST MAIN STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-5234, FAX: (928) 474-5235, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3132, LICENSE: OTC3828, NAME: SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER, LEGALLY: SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER, ADDRESS: 300 NORTH 18TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 218-8192, FAX: (602) 218-8175, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3153, LICENSE: OTC5121, NAME: SANDERS CLINIC, LEGALLY: SANDERS CLINIC, ADDRESS: LOT #24 RIO VISTA ESTATES, CITY: SANDERS, STATE: AZ, ZIP: 86512, PHONE: (928) 688-3903, FAX: (928) 688-4471, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3160, LICENSE: OTC3827, NAME: GOOD NIGHT PEDIATRICS-SOUTH MOUNTAIN (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS-SOUTH MOUNTAIN, ADDRESS: 325 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3154, LICENSE: OTC3823, NAME: NORTH COUNTRY HEALTHCARE-GRAND CANYON (URG CARE, LEGALLY: NORTH COUNTRY HEALTHCARE-GRAND CANYON, ADDRESS: 1 CLINIC ROAD, CITY: GRAND CANYON, STATE: AZ, ZIP: 86023, PHONE: (928) 638-2551, FAX: (928) 638-2598, CAPACITY: 0, COUNTY: COCONINO TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3068, LICENSE: OTC3834, NAME: ADVANCED MEDICAL THERAPY, LEGALLY: ADVANCED MEDICAL THERAPY, ADDRESS: 15640 NORTH 7TH STREET, SUITE 6, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 439-3800, FAX: (602) 439-3802, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3124, LICENSE: OTC3844, NAME: GRANDVIEW TERRACE CLINIC, LEGALLY: GRANDVIEW TERRACE, ADDRESS: 14515 WEST GRANITE VALLEY DRIVE, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-8042, FAX: (623) 556-1068, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3134, LICENSE: , NAME: CARONDELET MEDICAL MALL AT GREEN VALLEY, LEGALLY: CARONDELET MEDICAL MALL AT GREEN VALLEY, ADDRESS: 400 WEST CAMINO CASA VERDE, SUITE 200, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 872-4555, FAX: (520) 872-4556, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3103, LICENSE: HSPC3855, NAME: HOSPICE OF THE VALLEY'S BRIGHTON GAR PCU (031517), LEGALLY: HOSPICE OF THE VALLEY'S BRIGHTON GARDENS PCU, ADDRESS: 6001 EAST THOMAS ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-2400, FAX: (480) 423-3359, CAPACITY: 9, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3141, LICENSE: OTC3966, NAME: REGENT MEDICAL URGENT CARE, LEGALLY: REGENT MEDICAL URGENT CARE, ADDRESS: 16872 NORTH CAVE CREEK ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 494-7700, FAX: (602) 494-3377, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3184, LICENSE: HHA3957, NAME: AMEDISYS HOME HEALTH CARE, LEGALLY: AMEDISYS HOME HEALTH CARE, ADDRESS: 3443 NORTH CAMPBELL AVENUE, SUITE #155, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 325-9056, FAX: (520) 325-9101, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2847, LICENSE: HSPC3847, NAME: AFFINITY HOSPICE OF LIFE, LEGALLY: AFFINITY HOSPICE OF LIFE, ADDRESS: 1661 EAST CAMELBACK ROAD, SUITE 350, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 253-2273, FAX: (602) 253-1999, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3129, LICENSE: , NAME: ST JOSEPH'S ADOLESCENT NEUROLOGY, LEGALLY: ST. JOSEPH'S ADOLESCENT NEUROLOGY, ADDRESS: 222 WEST THOMAS ROAD, SUITE 304, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3611, FAX: (602) 406-4343, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3144, LICENSE: OSC3857, NAME: CARONDELET FOOTHILLS SURGERY CENTER, LEGALLY: CARONDELET FOOTHILLS SURGERY CENTER, ADDRESS: 2220 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 877-5660, FAX: (520) 877-5669, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3187, LICENSE: OTC3854, NAME: CANYONLANDS URGENT CARE, LEGALLY: CANYONLANDS COMMUNITY HEALTH CARE, ADDRESS: 440 NORTH NAVAJO DRIVE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-1000, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3102, LICENSE: OTC5290, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 14416 WEST MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 876-3800, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2873, LICENSE: OTC3859, NAME: MBI OCCUPATIONAL HEALTHCARE, TUCSON (URGENT CARE), LEGALLY: MBI OCCUPATIONAL HEALTHCARE, TUCSON, ADDRESS: 1001 EAST PALMDALE STREET, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 807-1060, FAX: (520) 807-0990, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3188, LICENSE: , NAME: NORTHWEST MEDICAL CENTER- CONTINENTAL RESERVE URGE, LEGALLY: NORTHWEST MEDICAL CENTER- CONTINENTAL RESERVE URGENT CARE, ADDRESS: 8333 NORTH SILVERBELL ROAD, SUITE 111, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 202-7700, FAX: (520) 202-7750, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3113, LICENSE: OTC3908, NAME: SUNSET COMMUNITY HEALTH CENTER, LEGALLY: SUNSET COMMUNITY HEALTH CENTER, INC., ADDRESS: 2060 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 819-8814, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3208, LICENSE: , NAME: NORTHWEST MEDICAL CENTER- OUTPATIENT THERAPY, LEGALLY: NORTHWEST MEDICAL CENTER- OUTPATIENT THERAPY, ADDRESS: 6060 NORTH FOUNTAIN PLAZA DRIVE, SUITE 150, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8251, FAX: (520) 877-4071, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3181, LICENSE: OTC3863, NAME: URGENT CARE ASSOCIATES P C AT RITA RANCH, LEGALLY: URGENT CARE ASSOCIATES P C AT RITA RANCH, ADDRESS: 9348 EAST RITA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 795-8888, FAX: (520) 795-8892, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3194, LICENSE: , NAME: CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE, LEGALLY: CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE, ADDRESS: 1676 EAST MCMURRAY BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 316-0688, FAX: (520) 381-6435, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3157, LICENSE: HHA4900, NAME: SUN VALLEY HOME CARE & COMMUNITY PALLIATIVE, LEGALLY: SUN VALLEY HOME CARE & COMMUNITY PALLIATIVE, ADDRESS: 7227 EAST BASELINE ROAD, SUITE 127, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 633-1555, FAX: (480) 633-1556, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3186, LICENSE: OTC3232, NAME: MARICOPA CO HEALTH CARE FOR THE HOMELESS (URGENT), LEGALLY: MARICOPA COUNTY HEALTH CARE FOR THE HOMELESS, ADDRESS: 220 SOUTH 12TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 372-2100, FAX: (602) 372-2107, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3227, LICENSE: OTC5209, NAME: ELLIE TOWNE HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC, ADDRESS: 1670 WEST RUTHRAUFF ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 797-0011, FAX: (520) 797-7550, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3149, LICENSE: OTC4620, NAME: APACHE CO PUBLIC HEALTH SERVICES DISTRICT-ST JOHNS, LEGALLY: APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT-ST JOHNS, ADDRESS: 1200 WEST CLEVELAND, SUITE 9, CITY: SAINT JOHNS, STATE: AZ, ZIP: 85936, PHONE: (928) 337-7532, FAX: (928) 337-7592, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3199, LICENSE: HSPC4269, NAME: HARMONY HOSPICE, LEGALLY: HARMONY HOSPICE, ADDRESS: 201 EAST COTTONWOOD LANE, SUITE 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 421-2157, FAX: (520) 421-2481, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3205, LICENSE: HSPC3868, NAME: DESERT OASIS HOSPICE LLC, LEGALLY: DESERT OASIS HOSPICE LLC, ADDRESS: 20815 NORTH 25TH PLACE, SUITE A106, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 424-4204, FAX: (602) 424-4208, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2934, LICENSE: OTC3952, NAME: STI PHYSICAL THERAPY & REHAB-CENTRAL PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-CENTRAL PHOENIX, ADDRESS: 444 WEST OSBORN ROAD, SUITE 303, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 279-8022, FAX: (602) 279-8029, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2932, LICENSE: OTC4056, NAME: STI PHYSICAL THERAPY & REHAB-WEST PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-WEST PHOENIX, ADDRESS: 9150 WEST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 931-3838, FAX: (623) 931-3363, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3147, LICENSE: HHA4187, NAME: CELEBRITY HOMEHEALTH, LEGALLY: CELEBRITY HOMEHEALTH, ADDRESS: 1801 SOUTH JEN TILLY LANE SUITE A-10, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 966-8888, FAX: (480) 966-8892, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3173, LICENSE: HSPC3917, NAME: HOSPICE OF THE VALLEY'S SHERMAN HSPC HOME (031517), LEGALLY: HOSPICE OF THE VALLEY'S SHERMAN HOSPICE HOME, ADDRESS: 5801 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (602) 530-6900, FAX: (480) 538-5779, CAPACITY: 12, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3191, LICENSE: OTC4928, NAME: COMMUNITY HOSPITAL CLINIC-WICKENBURG, LEGALLY: COMMUNITY HOSPITAL CLINIC-WICKENBURG, ADDRESS: 519 ROSE LANE, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 668-1833, FAX: (928) 684-7457, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3164, LICENSE: OTC3849, NAME: NEIGHBORHOOD OUTREACH ACTION FOR HTH MOBILE HTH UN, LEGALLY: NEIGHBORHOOD OUTREACH ACTION FOR HEALTH- MOBILE HEALTH UNIT, ADDRESS: 3634 NORTH DRINKWATER REAR, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 323-3685, FAX: (480) 323-4688, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3168, LICENSE: HHA5102, NAME: NURSESTAFFING AT HOME, LEGALLY: NURSESTAFFING AT HOME, ADDRESS: 2025 NORTH 3RD STREET, SUITE 290, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 248-9027, FAX: (602) 248-9331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3182, LICENSE: OTC3872, NAME: DERMAHEALTH INSTITUTE OF GILBERT & MESA, LEGALLY: DERMAHEALTH INSTITUTE OF GILBERT & MESA, ADDRESS: 4140 EAST BASELINE ROAD, SUITE 110, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 539-0777, FAX: (480) 539-6054, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3193, LICENSE: OTC3951, NAME: TERRACES OF PHOENIX OUTPATIENT REHAB, THE, LEGALLY: TERRACES OF PHOENIX OUTPATIENT REHAB, THE, ADDRESS: 7550 NORTH 16TH STREET, ROOM 8044, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 944-4455, FAX: (602) 371-4130, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3196, LICENSE: OTC5310, NAME: SUN VALLEY PEDIATRIC URGENT CARE, LEGALLY: SUN VALLEY PEDIATRIC URGENT CARE, ADDRESS: 801 WEST RAY ROAD, SUITE 1, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 355-5437, FAX: (480) 355-5436, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3197, LICENSE: OTC3871, NAME: COMPREHENSIVE SLEEP SOLUTIONS-PHOENIX, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-PHOENIX, ADDRESS: 4045 EAST UNION HILLS, SUITE 124, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3210, LICENSE: OTC3916, NAME: STAT CLINIX-SHOW LOW (URGENT CARE), LEGALLY: STAT CLINIX-SHOW LOW, ADDRESS: 680 EAST DEUCE OF CLUBS, SUITE B, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-2777, FAX: (928) 537-2787, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3216, LICENSE: OTC3882, NAME: SCOTTSDALE ADVANCED IMAGING, LEGALLY: SCOTTSDALE ADVANCED IMAGING, ADDRESS: 9522 EAST SAN SALVADOR, SUITE 150, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 767-2222, FAX: (480) 767-2289, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3219, LICENSE: OTC3887, NAME: SLEEP DISORDERS CENTER OF PRESCOTT VALLEY, LEGALLY: SLEEP DISORDERS CENTER OF PRESCOTT VALLEY, ADDRESS: 3259 NORTH WINDSONG DRIVE, SUITE A, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-6422, FAX: (928) 772-6425, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3229, LICENSE: OTC5339, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUITE 200, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-6700, FAX: (602) 439-6730, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3230, LICENSE: , NAME: SUN HEALTH MRI CENTER-WEBB CAMPUS, LEGALLY: SUN HEALTH MRI CENTER-WEBB CAMPUS, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE 102, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4016, FAX: (623) 214-4111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3240, LICENSE: OTC4066, NAME: NEXTCARE URGENT CARE-MC 59, LEGALLY: NEXTCARE URGENT CARE-MC 59, ADDRESS: 5920 WEST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3215, LICENSE: OTC3873, NAME: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-OSBORN, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH, ADDRESS: 3501 NORTH SCOTTSDALE ROAD, SUITE 231, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4770, FAX: (480) 882-4391, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3148, LICENSE: OSC3875, NAME: CAMP LOWELL SURGERY CENTER, LEGALLY: CAMP LOWELL SURGERY CENTER, ADDRESS: 4620 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 618-6058, FAX: (520) 618-5891, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3192, LICENSE: OTC4195, NAME: ARIS PHYSICAL THERAPY, LEGALLY: ARIS PHYSICAL THERAPY, ADDRESS: 17100 NORTH 67TH AVENUE, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 979-2747, FAX: (623) 979-3122, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3203, LICENSE: OTC3885, NAME: CIGNA GILBERT SPECIALTY HEALTH CARE CENTER, LEGALLY: CIGNA GILBERT SPECIALTY HEALTH CARE CENTER, ADDRESS: 4001 EAST BASELINE ROAD, SUITE F-103, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 371-2964, FAX: (602) 371-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3106, LICENSE: HSPC3898, NAME: HOSPICE OF THE VALLEY'S PALM VALLEY PCU(031515), LEGALLY: HOSPICE OF THE VALLEY'S PALM VALLEY PCU, ADDRESS: 13575 WEST MCDOWELL ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 512-4980, FAX: (623) 512-4985, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3241, LICENSE: OTC3894, NAME: SCOTTSDALE HEALTHCARE CARDIAC REHAB CENTER, LEGALLY: SCOTTSDALE HEALTHCARE CARDIAC REHAB CENTER, ADDRESS: 9201 EAST MOUNTAIN VIEW, SUITE 150, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-4600, FAX: (480) 323-4621, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3267, LICENSE: HHA3973, NAME: KC'S HOME HEALTH CARE, LLC, LEGALLY: KC'S HOME HEALTH CARE, LLC, ADDRESS: 20612 NORTH CAVE CREEK ROAD, SUITE F151, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 283-4089, FAX: (602) 283-4498, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2983, LICENSE: OTC3904, NAME: PUEBLO NORTE REHAB & HEALTHCARE, LEGALLY: PUEBLO NORTE REHAB & HEALTHCARE, ADDRESS: 7100 EAST MESCAL STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 948-5800, FAX: (480) 443-5117, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3209, LICENSE: HSPC3896, NAME: EVERCARE HOSPICE AND PALLIATIVE CARE, LEGALLY: EVERCARE HOSPICE AND PALLIATIVE CARE, ADDRESS: 6245 EAST BROADWAY, 5TH FLOOR, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 407-8000, FAX: (520) 407-8001, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3248, LICENSE: OTC3903, NAME: CONCENTRA MEDICAL CENTER-VAL VISTA (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER VAL VISTA, ADDRESS: 1959 SOUTH VAL VISTA ROAD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 545-1398, FAX: (480) 545-2706, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2099, LICENSE: HSPC3015, NAME: HOSPICE OF THE VALLEY'S EAST MESA PALLI(031505), LEGALLY: HOSPICE OF THE VALLEY'S EAST MESA PALLIATIVE CARE UNIT, ADDRESS: 6063 EAST ARBOR AVENUE, BUILDING C, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 654-6737, FAX: (480) 654-6736, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3066, LICENSE: OTC3905, NAME: SAN LUIS WALK-IN/MOBILE CLINIC, LEGALLY: SAN LUIS WALK-IN/MOBILE CLINIC, ADDRESS: 1896 EAST BABBIT LANE, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-9222, FAX: (928) 627-8773, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2875, LICENSE: OTC3910, NAME: MBI INDUSTRIAL MEDICINE- EAST (URGENT CARE), LEGALLY: MBI INDUSTRIAL MEDICINE INC-EAST, ADDRESS: 4100 EAST BROADWAY ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 437-0234, FAX: (602) 437-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2876, LICENSE: OTC3912, NAME: MBI INDUSTRIAL MEDICINE-WEST (URGENT CARE), LEGALLY: MBI INDUSTRIAL MEDICINE-WEST, ADDRESS: 3501 WEST OSBORN ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 272-1162, FAX: (602) 773-0287, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3260, LICENSE: OTC4869, NAME: SLEEP DISORDERS CENTER OF FLAGSTAFF, LEGALLY: SLEEP DISORDERS CENTER OF FLAGSTAFF, ADDRESS: 1110 EAST ROUTE 66, SUITE 202, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-7400, FAX: (192) 821-4740, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2917, LICENSE: OTC3658, NAME: NEXTCARE URGENT CARE-TATUM, LEGALLY: NEXTCARE URGENT CARE-TATUM, ADDRESS: 20950 NORTH TATUM BOULEVARD, SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 776-0022, FAX: (480) 776-0026, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3185, LICENSE: OTC3915, NAME: UNITED COMMUNITY HEALTH CENTER AT PRESIDIO POINTE, LEGALLY: UNITED COMMUNITY HEALTH CENTER AT PRESIDIO POINTE, ADDRESS: 275 WEST CONTINENTAL ROAD, SUITE 141, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 407-5604, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3247, LICENSE: OTC3892, NAME: FLOWING WELLS FAMILY HEALTH CENTER, LEGALLY: FLOWING WELLS FAMILY HEALTH CENTER, ADDRESS: 1323 WEST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 887-0800, FAX: (520) 887-1393, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3239, LICENSE: OTC3994, NAME: NEXTCARE URGENT CARE-THOMAS, LEGALLY: NEXTCARE URGENT CARE-THOMAS, ADDRESS: 1701 EAST THOMAS ROAD, SUITE A 104, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3263, LICENSE: OTC3934, NAME: FASTMED URGENT CARE-VAL VISTA, LEGALLY: FASTMED URGENT CARE- VAL VISTA, ADDRESS: 415 NORTH VAL VISTA DRIVE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85213, PHONE: (480) 654-5661, FAX: (480) 654-5663, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3262, LICENSE: OTC5192, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 3336 EAST CHANDLER HEIGHTS ROAD, SUITE A-101, CITY: GILBERT, STATE: AZ, ZIP: 85298, PHONE: (480) 512-5900, FAX: (480) 890-2997, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3264, LICENSE: OSC4020, NAME: SURGICAL ELITE OF AVONDALE, LLC, LEGALLY: SURGICAL ELITE OF AVONDALE, LLC, ADDRESS: 10815 WEST MCDOWELL ROAD, SUITE101, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 433-0110, FAX: (623) 433-0111, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3270, LICENSE: OTC3944, NAME: RENAL CARE GROUP-SOUTHEAST VALLEY, LEGALLY: RENAL CARE GROUP-SOUTHEAST VALLEY, ADDRESS: 22715 SOUTH ELLSWORTH, BUILDING D, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 677-2463, FAX: (480) 677-2453, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3281, LICENSE: OTC3943, NAME: VALLEY OXIMETRY SLEEP DISORDERS CENTER, LEGALLY: VALLEY OXIMETRY SLEEP DISORDERS CENTER, ADDRESS: 4141 NORTH 32ND STREET, SUITE 104, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 535-5888, FAX: (480) 247-5391, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3280, LICENSE: OTC5651, NAME: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH- CORPORA, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH- CORPORATE, ADDRESS: 8125 NORTH HAYDEN RD # 130, 131A, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-4680, FAX: (480) 323-4688, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3172, LICENSE: HHA3923, NAME: VALLEY HOME CARE, LLC, LEGALLY: VALLEY HOME CARE, LLC, ADDRESS: 2730 WEST AQUA FRIA FREEWAY, SUITE #104, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 842-0900, FAX: (623) 842-0123, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3287, LICENSE: OTC4017, NAME: MARIPOSA COMMUNITY HEALTH CENTER AT RIO RICO, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, INC, ADDRESS: 1103 CIRCULO MERCADO, SUITE E, CITY: RIO RICO, STATE: AZ, ZIP: 85648, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3114, LICENSE: OSC3922, NAME: ARIZONA ADVANCED SURGERY CENTER, LLC, LEGALLY: ARIZONA ADVANCED SURGERY CENTER, ADDRESS: 9819 NORTH 95TH STREET, SUITE 110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 496-2345, FAX: (480) 496-2346, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3297, LICENSE: HHA4059, NAME: HEALTHSOUTH HOME HEALTH OF PHOENIX, LEGALLY: HEALTHSOUTH HOME HEALTH OF PHOENIX, ADDRESS: 13460 NORTH 67TH AVENUE, SUITE 3 & 4, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 334-5454, FAX: (623) 334-5485, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3225, LICENSE: OTC5298, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 13640 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3800, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2874, LICENSE: OTC3935, NAME: MEDICINE FOR BUSINESS AND INDUSTRY, LLC, LEGALLY: MEDICINE FOR BUSINESS AND INDUSTRY, LLC, ADDRESS: 177 WEST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-3800, FAX: (520) 836-1298, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3224, LICENSE: OTC5294, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 13760 NORTH 93RD AVENUE, SUITE 101, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3940, FAX: (623) 977-4223, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3223, LICENSE: OTC5299, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE 104, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 583-5300, FAX: (623) 583-5301, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3252, LICENSE: HHA3941, NAME: QUALITY STAFFING SERVICES, LEGALLY: QUALITY STAFFING SERVICES, LLC, ADDRESS: 1500 EAST BETHANY HOME ROAD, SUITE #140, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 266-2203, FAX: (602) 266-2215, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3290, LICENSE: OTC4104, NAME: NP HEALTHCARE DOWNTOWN PHOENIX, LEGALLY: NP HEALTHCARE DOWNTOWN PHOENIX, ADDRESS: 500 NORTH 3RD STREET, SUITE 155, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 496-0721, FAX: (602) 496-0675, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3236, LICENSE: OTC5585, NAME: CENTER FOR PAIN MANAGEMENT, LEGALLY: CENTER FOR PAIN MANAGEMENT, ADDRESS: 4745 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-5540, FAX: (520) 731-5541, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3295, LICENSE: OTC4084, NAME: ARCADIA URGENT CARE, LEGALLY: ARCADIA URGENT CARE, ADDRESS: 4730 EAST INDIAN SCHOOL ROAD, SUITE 211, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 354-3491, FAX: (602) 595-8567, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3299, LICENSE: OTC4430, NAME: PHOENIX DIALYSIS CENTER, LEGALLY: PHOENIX DIALYSIS CENTER, ADDRESS: 337 EAST CORONADO ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 253-9006, FAX: (602) 253-9465, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3293, LICENSE: HHA4052, NAME: HEALTHSOUTH HOME HEALTH OF TUCSON, LEGALLY: HEALTHSOUTH HOME HEALTH OF TUCSON, ADDRESS: 2650 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 320-6578, FAX: (520) 320-6577, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3302, LICENSE: HHA4118, NAME: THOROUGHCARE HOME HEALTH, LEGALLY: THOROUGHCARE HOME HEALTH, ADDRESS: 4524 EAST HEREFORD ROAD, CITY: HEREFORD, STATE: AZ, ZIP: 85615, PHONE: (520) 803-1234, FAX: (520) 458-2444, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3242, LICENSE: H0098, NAME: COPPER QUEEN COMMUNITY HOSPITAL, LEGALLY: COPPER QUEEN COMMUNITY HOSPITAL, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-5383, FAX: (520) 432-1724, CAPACITY: 14, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3198, LICENSE: OTC3955, NAME: MARANA HEALTH CENTER OB/GYN, LEGALLY: MARANA HEALTH CENTER OB/GYN, ADDRESS: 2055 WEST HOSPITAL DRIVE, SUITE 115, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 797-0011, FAX: (520) 797-7550, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3312, LICENSE: , NAME: FAMILY AND COMM MEDICINE PHYS OFFICE AT ABRAMS, LEGALLY: FAMILY AND COMM MEDICINE PHYS OFFICE AT ABRAMS, ADDRESS: 2800 EAST AJO WAY SUITES 100,101,102,103,104&105, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 874-2048, FAX: (520) 874-2049, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3313, LICENSE: OTC3969, NAME: SAN LUIS WALK-IN CLINIC URGENT CARE & FAMILY CENTE, LEGALLY: SAN LUIS WALK-IN CLINIC URGENT CARE & FAMILY CENTER, ADDRESS: 214 WEST MAIN STREET, CITY: SOMERTON, STATE: AZ, ZIP: 85350, PHONE: (928) 627-1120, FAX: (928) 627-8773, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3314, LICENSE: OTC5067, NAME: SLEEP TESTING AND RESPIRATORY SERVICES - ESTRELLA, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES - ESTRELLA, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 465, CITY: GLENDALE, STATE: AZ, ZIP: 85307, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3319, LICENSE: OTC4015, NAME: MOUNTAIN PARK HEALTH CENTER TEMPE, LEGALLY: MOUNTAIN PARK HEALTH CENTER, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 312, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (602) 286-6090, FAX: (602) 286-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3283, LICENSE: OSC5056, NAME: NORTH VALLEY ENDOSCOPY CENTER, LEGALLY: NORTH VALLEY ENDOSCOPY CENTER, ADDRESS: 15255 NORTH 40TH STREET, BUILDING 8, SUITE 157, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 482-1001, FAX: (602) 482-0024, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3320, LICENSE: OTC3965, NAME: VILLA MARIA CARE CENTER-OUTPATIENT THERAPY CENTER, LEGALLY: VILLA MARIA CARE CENTER, ADDRESS: 4310 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 323-9351, FAX: (520) 323-6857, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3322, LICENSE: OTC4028, NAME: SOUTHWEST PET/CT INSTITUTE-YUMA, LEGALLY: SOUTHWEST PET/CT INSTITUTE, ADDRESS: 1951 WEST 25TH STREET, SUITE G, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (818) 879-9600, FAX: (818) 879-9607, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3325, LICENSE: OTC4063, NAME: HANDMAKER JEWISH SERVICES FOR THE AGING, LEGALLY: HANDMAKER JEWISH SERVICES FOR THE AGING, ADDRESS: 2221 NORTH ROSEMONT BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 881-2323, FAX: (520) 322-3620, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3326, LICENSE: HHA4134, NAME: ALTRUISTIX NURSING SERVICES, INC, LEGALLY: ALTRUISTIX NURSING SERVICES, INC, ADDRESS: 245 SOUTH PLUMER AVENUE, SUITE 38 A, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 797-2574, FAX: (520) 888-3023, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3329, LICENSE: OTC4050, NAME: URGENT CARE ASSOCIATES, LEGALLY: URGENT CARE ASSOCIATES, ADDRESS: 1622 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-8888, FAX: (520) 795-8892, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3337, LICENSE: HHA4034, NAME: INTEGRITY HOME HEALTH CARE SERVICES, LLC, LEGALLY: INTEGRITY HOME HEALTH CARE SERVICES, LLC, ADDRESS: 11029 NORTH 24TH AVENUE, SUITE 805, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 997-0500, FAX: (602) 997-4934, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3341, LICENSE: OSC4075, NAME: PARADISE VALLEY OUTPATIENT SURGERY CENTER, LEGALLY: PARADISE VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 5410 NORTH SCOTTSDALE ROAD SUITE A-510, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 423-1973, FAX: (480) 423-1977, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3345, LICENSE: , NAME: VERDE VALLEY AMBULATORY SURGERY CENTER, LEGALLY: VERDE VALLEY AMBULATORY SURGERY CENTER, ADDRESS: 300 WEST HIGHWAY 89A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-5200, FAX: (928) 639-6070, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3346, LICENSE: OTC5106, NAME: BOSTON MEDICAL GROUP-ARIZONA, LEGALLY: BOSTON MEDICAL GROUP-ARIZONA, ADDRESS: 14500 NORTH NORTHSIGHT BOULEVARD, SUITE 209, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (800) 616-1526, FAX: (949) 251-7814, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3348, LICENSE: OTC3977, NAME: PASSPORT HEALTH-SCOTTSDALE, LEGALLY: PASSPORT HEALTH-SCOTTSDALE, ADDRESS: 8585 EAST HARTFORD DRIVE, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3269, LICENSE: OTC3975, NAME: CORNERSTONE PEDIATRIC URGENT CARE, LEGALLY: CORNERSTONE PEDIATRIC URGENT CARE, LLC, ADDRESS: 1430 NORTH COOPER ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 633-1111, FAX: (480) 633-6611, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED3289, LICENSE: SH3974, NAME: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL, LEGALLY: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL, ADDRESS: 3700 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 759-8800, FAX: (928) 759-8806, CAPACITY: 40, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3156, LICENSE: NONE, NAME: ADVANCED PLASTIC SURGERY CENTER, LEGALLY: ADVANCED PLASTIC SURGERY CENTER, ADDRESS: 1615 PETROGLYPH POINTE DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 777-0200, FAX: (928) 443-1117, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3300, LICENSE: OTC4956, NAME: CHRIS RIDGE PREMIER OUTPATIENT TREATMENT CENTER, LEGALLY: CHRIS RIDGE PREMIER OUTPATIENT TREATMENT CENTER, ADDRESS: 6246 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 433-6300, FAX: (602) 433-6218, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3355, LICENSE: OTC4091, NAME: SOUTHWEST PET/CT INSTITUTE, LEGALLY: SOUTHWEST PET/CT INSTITUTE, ADDRESS: 3503 NORTH CAMPBELL AVENUE, SUITE 155, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (818) 879-9600, FAX: (818) 879-9607, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3356, LICENSE: OTC4073, NAME: CARONDELET ST JOSEPH'S SLEEP LAB, LEGALLY: CARONDELET ST. JOSEPH'S SLEEP LAB, ADDRESS: 6296 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 886-6347, FAX: (520) 546-0560, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3359, LICENSE: OSC4024, NAME: AESTHETIC SURGERY AT HACIENDA DEL SOL, L L C, LEGALLY: AESTHETIC SURGERY AT HACIENDA DEL SOL, LLC, ADDRESS: 2490 EAST RIVER ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 751-1225, FAX: (520) 751-2008, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3357, LICENSE: OTC4092, NAME: MARICOPA URGENT CARE, LEGALLY: MARICOPA URGENT CARE, ADDRESS: 21300 NORTH JOHN WAYNE PARKWAY, SUITE 112, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 381-3811, FAX: (520) 381-3816, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3296, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR-GREEN VAL, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- GREEN VALLEY PHYSICIAN CLINIC, THE, ADDRESS: 1141 SOUTH LA CANADA DRIVE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 694-3030, FAX: (520) 694-3055, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2787, LICENSE: SH3571, NAME: ARIZONA ORTHOPEDIC SURGICAL HOSPITAL, LEGALLY: ARIZONA ORTHOPEDIC SURGICAL HOSPITAL, ADDRESS: 2905 WEST WARNER ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 603-9000, FAX: (480) 603-9107, CAPACITY: 24, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3366, LICENSE: OSC4036, NAME: ORTHOPEDIC SURGERY CENTER OF ARIZONA, THE, LEGALLY: ORTHOPEDIC SURGERY CENTER OF ARIZONA, THE, ADDRESS: 2262 EAST ROSE GARDEN LANE, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 424-4408, FAX: (602) 424-4409, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3310, LICENSE: H0090, NAME: CARONDELET HOLY CROSS HOSPITAL, LEGALLY: CARONDELET HOLY CROSS HOSPITAL, ADDRESS: 1171 WEST TARGET RANGE ROAD, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 285-3000, FAX: (520) 285-8015, CAPACITY: 25, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3367, LICENSE: OTC3989, NAME: URGENT CARE EXTRA-HIGLEY, LEGALLY: EAST VALLEY URGENT CARE-HIGLEY, ADDRESS: 1355 SOUTH HIGLEY ROAD, SUITE 104, CITY: HIGLEY, STATE: AZ, ZIP: 85236, PHONE: (480) 840-6600, FAX: (480) 840-6699, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3131, LICENSE: , NAME: ST JOSEPH'S PEDIATRICS, LEGALLY: ST JOSEPH'S PEDIATRICS, ADDRESS: 500 WEST THOMAS ROAD, SUITE 250, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3520, FAX: (602) 406-3738, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3304, LICENSE: OTC3993, NAME: MAYO CLINIC SPECIALTY BUILDING, LEGALLY: MAYO CLINIC SPECIALTY BUILDING, ADDRESS: 5779 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 342-2000, FAX: (480) 342-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3369, LICENSE: , NAME: DIGNITY HEALTH URGENT CARE-QUEEN CREEK, LEGALLY: DIGNITY HEALTH URGENT CARE-QUEEN CREEK, ADDRESS: 7205 SOUTH POWER ROAD, SUITE 101, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 123-4567, FAX: (480) 728-9600, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3370, LICENSE: HHA4068, NAME: ALARYS HOME HEALTH, INC, LEGALLY: ALARYS HOME HEALTH, INC, ADDRESS: 4250 NORTH DRINKWATER BOULEVARD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 444-7800, FAX: (480) 444-7900, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3275, LICENSE: OTC5240, NAME: NEXTCARE URGENT CARE- NORTH MESA, LEGALLY: NEXTCARE URGENT CARE- NORTH MESA, ADDRESS: 535 EAST MC KELLIPS ROAD, SUITE #101, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 844-7400, FAX: (602) 443-6751, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3339, LICENSE: OTC3992, NAME: BANNER ALZHEIMER'S INSTITUTE, LEGALLY: BANNER ALZHEIMER'S INSTITUTE, ADDRESS: 901 EAST WILLETTA STREET, 3RD FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-6900, FAX: (602) 839-6909, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3374, LICENSE: HSPC4126, NAME: SACRED HEART HOSPICE LLC, LEGALLY: SACRED HEART HOSPICE LLC, ADDRESS: 15255 NORTH 40TH STREET, SUITE 125, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 476-2047, FAX: (602) 253-0535, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3375, LICENSE: , NAME: WESTERN ARIZONA REGIONAL MEDICAL CENTER A S C, LEGALLY: WESTERN ARIZONA REGIONAL MEDICAL CENTER AMBULATORY SURGERY CENTER, ADDRESS: 1225 EAST HANCOCK ROAD, SUITE F/100, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86429, PHONE: (928) 763-0201, FAX: (928) 763-6169, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3331, LICENSE: OTC4086, NAME: MINUTECLINIC - #17 (STORE CLINIC), LEGALLY: MINUTECLINIC - #17, ADDRESS: 18591 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3332, LICENSE: OTC4072, NAME: MINUTECLINIC - #3268 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3268, ADDRESS: 765 SOUTH LINDSAY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3333, LICENSE: OTC4065, NAME: MINUTECLINIC - #4795 (STORE CLINIC), LEGALLY: MINUTECLINIC - #4795, ADDRESS: 6015 EAST BROWN ROAD, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3334, LICENSE: OTC4184, NAME: MINUTECLINIC - #3749 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3749, ADDRESS: 2840 NORTH DYSART ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3335, LICENSE: OTC4168, NAME: MINUTECLINIC - #7852 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7852, ADDRESS: 28138 NORTH TATUM BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3377, LICENSE: OTC4129, NAME: ALLIANCE URGENT CARE-TOLLESON, LEGALLY: ALLIANCE URGENT CARE-TOLLESON, ADDRESS: 9897 WEST MCDOWELL ROAD, SUITE 100, CITY: TOLLESON, STATE: AZ, ZIP: 85353, PHONE: (623) 474-2300, FAX: (623) 474-2306, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3376, LICENSE: OTC4248, NAME: ALLIANCE URGENT CARE-PEORIA, LEGALLY: ALLIANCE URGENT CARE-PEORIA, ADDRESS: 8422 WEST THUNDERBIRD ROAD, SUITE 103, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 334-2818, FAX: (623) 334-2814, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3317, LICENSE: OTC4005, NAME: AMERICAN MEDICAL DIAGNOSTICS-MESA, LEGALLY: AMERICAN MEDICAL DIAGNOSTICS-MESA, ADDRESS: 1450 SOUTH DOBSON ROAD, SUITE A-305, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (602) 424-4450, FAX: (602) 445-7342, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3318, LICENSE: OTC5094, NAME: AMERICAN MEDICAL DIAGNOSTICS-PHOENIX, LEGALLY: AMERICAN MEDICAL DIAGNOSTICS-PHOENIX, ADDRESS: 2423 WEST DUNLAP AVENUE, SUITE #130, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 424-4450, FAX: (602) 445-7342, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3379, LICENSE: HHA4058, NAME: MERIDIAN HEALTH CARE PROVIDERS, INC, LEGALLY: MERIDIAN HEALTH CARE PROVIDERS, INC, ADDRESS: 575 WEST CHANDLER BOULEVARD, SUITE 129, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 857-0037, FAX: (480) 857-1098, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3338, LICENSE: OTC4818, NAME: NOW CARE URGENT CARE, LEGALLY: NOW CARE URGENT CARE, ADDRESS: 8251 WEST UNION HILLS DRIVE, SUITE #140, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 875-7900, FAX: (623) 875-7919, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3389, LICENSE: OTC5295, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 9165 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3800, FAX: (623) 523-6586, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3350, LICENSE: OSC4023, NAME: TRI-CITY SURGERY CENTER, LEGALLY: TRI-CITY SURGERY CENTER, ADDRESS: 5430 DISTINCTION WAY, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-1919, FAX: (928) 445-5672, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3386, LICENSE: OSC4105, NAME: PINNACLE SURGERY CENTER OF PEORIA, LLC, LEGALLY: PINNACLE SURGERY CENTER OF PEORIA, LLC, ADDRESS: 6790 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 979-1717, FAX: (623) 979-1707, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3394, LICENSE: , NAME: CAMP VERDE HEALTH CENTER, LEGALLY: CAMP VERDE HEALTH CENTER, ADDRESS: 460 FINNIE FLATS, CITY: CAMP VERDE, STATE: AZ, ZIP: 86322, PHONE: (928) 567-5257, FAX: (928) 567-0080, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED3301, LICENSE: SH4018, NAME: AURORA BEHAVIORAL HEALTH SYSTEM, LEGALLY: AURORA BEHAVIORAL HEALTH SYSTEM, ADDRESS: 6015 WEST PEORIA AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 344-4400, FAX: (623) 776-0343, CAPACITY: 90, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1864, LICENSE: SH3773, NAME: SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LEGALLY: SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, ADDRESS: 6501 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 795-6020, FAX: (602) 795-6022, CAPACITY: 33, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3396, LICENSE: OSC4093, NAME: CENTRAL ARIZONA ENDOSCOPY, LEGALLY: CENTRAL ARIZONA ENDOSCOPY, LLC, ADDRESS: 2158 NORTH GILBERT ROAD, BLDG 1, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 751-3002, FAX: (480) 751-3003, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3392, LICENSE: OTC5603, NAME: INNOVATIVE SENIOR CARE AT FREEDOM INN AT VENTANA C, LEGALLY: INNOVATIVE SENIOR CARE AT FREEDOM INN AT VENTANA CANYON, ADDRESS: 5660 NORTH KOLB ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85750, PHONE: (615) 564-8181, FAX: (414) 292-4868, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3390, LICENSE: OTC4182, NAME: SILVER CREEK OPEN MRI, LEGALLY: SILVER CREEK OPEN MRI, ADDRESS: 1245 B EAST HANCOCK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-8971, FAX: (928) 704-8975, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3399, LICENSE: OTC4396, NAME: ESTRELLA DIALYSIS CENTER, LEGALLY: ESTRELLA DIALYSIS CENTER, ADDRESS: 8410 WEST THOMAS ROAD, BLDG 1, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 247-0808, FAX: (623) 247-9757, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3404, LICENSE: OTC4085, NAME: GOOD NIGHT PEDIATRICS-EAST VALLEY (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS-EAST VALLEY, ADDRESS: 1452 NORTH HIGLEY ROAD, BUILDING #2, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3403, LICENSE: OTC4813, NAME: PAIN SOLUTIONS CENTER, LEGALLY: PAIN SOLUTIONS CENTER, ADDRESS: 15262 NORTH 75TH AVENUE, SUITE 400, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3409, LICENSE: HHA4829, NAME: LEGACY HOME HEALTHCARE, LEGALLY: LEGACY HOME HEALTHCARE, ADDRESS: 3636 CROSSINGS DRIVE, SUITE C, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 443-9331, FAX: (928) 443-9332, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3412, LICENSE: , NAME: TUCSON MEDICAL CENTER OUTPATIENT PROCEDURE CENTER, LEGALLY: TUCSON MEDICAL CENTER OUTPATIENT PROCEDURE CENTER, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5090, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3414, LICENSE: , NAME: TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY, LEGALLY: TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY SERVICES, ADDRESS: 2100 NORTH ROSEMONT, SUITE 110, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-3318, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3415, LICENSE: , NAME: TUCSON MEDICAL CENTER PRE-ANESTHESIA TESTING SVCS, LEGALLY: TUCSON MEDICAL CENTER PRE-ANESTHESIA TESTING SVCS, ADDRESS: 5335 EAST ERICKSON, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-1446, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3400, LICENSE: HSPC4038, NAME: HEARTS FOR HOSPICE - AZ, LEGALLY: HEARTS FOR HOSPICE, LLC, ADDRESS: 5225 NORTH CENTRAL, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 265-3333, FAX: (602) 264-2868, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3419, LICENSE: OTC4103, NAME: CLINICA DEL ALMA, LEGALLY: CLINICA DEL ALMA, ADDRESS: 3690 SOUTH PARK AVENUE, SUITE 805, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 616-6760, FAX: (520) 616-6799, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3420, LICENSE: OTC4226, NAME: CARONDELET MEDICAL MALL AT RITA RANCH, LEGALLY: CARONDELET MEDICAL MALL AT RITA RANCH, ADDRESS: 8290 SOUTH HOUGHTON ROAD, SUITE 180, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 873-3100, FAX: (520) 873-3624, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3424, LICENSE: HHA4238, NAME: INNOVATIVE SENIOR CARE HOME HEALTH, LEGALLY: INNOVATIVE SENIOR CARE HOME HEALTH, ADDRESS: 7500 NORTH CALLE SIN ENVIDIA, BUILDING 3, APT 3101, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 219-1649, FAX: (520) 219-2390, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3425, LICENSE: , NAME: BOUSE MEDICAL CLINIC, LEGALLY: BOUSE MEDICAL CLINIC, ADDRESS: 44031 EAST PLUMOSA ROAD, CITY: BOUSE, STATE: AZ, ZIP: 85325, PHONE: (928) 851-2177, FAX: (928) 851-1825, CAPACITY: 0, COUNTY: LA PAZ TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3428, LICENSE: HHA4345, NAME: PHOENIX HOME HEALTH-TUCSON, LEGALLY: PHOENIX HOME HEALTH-TUCSON, ADDRESS: 5055 EAST BROADWAY, SUITE C205, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (602) 789-8282, FAX: (602) 789-1989, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3429, LICENSE: OTC4146, NAME: WESLEY HEALTH CENTER, LEGALLY: WESLEY HEALTH CENTER, ADDRESS: 1300 SOUTH 10TH STREET, BUILDING 1, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 257-4323, FAX: (602) 257-4338, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3430, LICENSE: OTC4145, NAME: OPTIMUM MOBILE IMAGING, LEGALLY: OPTIMUM MOBILE IMAGING, ADDRESS: 9332 NORTH 95TH WAY, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 626-1722, FAX: (888) 376-9730, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3431, LICENSE: OSC4141, NAME: RAAD TAKI MD, LEGALLY: RAAD TAKI MD, ADDRESS: 4580 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 881-3232, FAX: (520) 881-3535, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3432, LICENSE: OTC5065, NAME: SLEEP TESTING AND RESPIRATORY SERVICES - LA CHOLLA, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES - LA CHOLLA, ADDRESS: 7384 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 918-1316, FAX: (520) 918-1347, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3436, LICENSE: , NAME: COTTONWOOD DAY SURGERY CENTER, DOCTOR DAVIS, LEGALLY: COTTONWOOD DAY SURGERY CENTER, ADDRESS: 55 SOUTH SIXTH STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (480) 473-2060, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3438, LICENSE: OTC5144, NAME: NORTH COUNTRY HEALTHCARE-HOLBROOK, LEGALLY: NORTH COUNTRY HEALTHCARE-HOLBROOK, ADDRESS: 2109 NAVAJO BLVD, CITY: HOLBROOK, STATE: AZ, ZIP: 86025, PHONE: (928) 524-2851, FAX: (928) 524-2171, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3437, LICENSE: OTC4230, NAME: HOPE COMMUNITY HEALTH CENTER, LEGALLY: HOPE COMMUNITY HEALTH CENTER, ADDRESS: 312 NORTH ALMA SCHOOL ROAD, SUITE 9 C, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-2720, FAX: (480) 857-0468, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0205, LICENSE: H0126, NAME: COBRE VALLEY REGIONAL MEDICAL CENTER, LEGALLY: COBRE VALLEY REGIONAL MEDICAL CENTER, ADDRESS: 5880 SOUTH HOSPITAL DRIVE, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3261, FAX: (928) 425-7903, CAPACITY: 25, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3439, LICENSE: HSPC4150, NAME: ALLEGIANCE HOSPICE CARE AGENCY, LEGALLY: ALLEGIANCE HOSPICE CARE AGENCY, ADDRESS: 761 EAST UNIVERSITY DRIVE, SUITE A, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 834-4325, FAX: (480) 834-4396, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3442, LICENSE: HHA5029, NAME: ASPIRE HOME HEALTHCARE OF ARIZONA INC, LEGALLY: ASPIRE HOME HEALTHCARE OF ARIZONA, INC, ADDRESS: 9977 NORTH 90TH STREET, SUITE 175, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (602) 283-0266, FAX: (866) 878-0094, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3445, LICENSE: OTC5347, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1520 SOUTH DOBSON ROAD, SUITE 217, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-8080, FAX: (480) 412-8081, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3450, LICENSE: HHA4180, NAME: CARE PARTNERS HEALTH SERVICES, INC, LEGALLY: CARE PARTNERS HEALTH SERVICES, INC, ADDRESS: 14122 WEST MCDOWELL ROAD, SUITE 104, CITY: GOODYEAR, STATE: AZ, ZIP: 85392, PHONE: (623) 535-9607, FAX: (623) 535-4387, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3451, LICENSE: OTC4211, NAME: SUN VALLEY URGENT CARE, LEGALLY: SUN VALLEY URGENT CARE, ADDRESS: 2910 NORTH LITCHFIELD ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 218-6907, FAX: (623) 225-7126, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3452, LICENSE: HHA4148, NAME: ALL N ONE HOME HEALTH AGENCY, LLC, LEGALLY: ALL N ONE HOME HEALTH AGENCY, LLC, ADDRESS: 2922 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 368-3471, FAX: (602) 368-3482, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3454, LICENSE: HSPC4181, NAME: HOSPICE OF THE VALLEY SURPRISE PCU (031515), LEGALLY: HOSPICE OF THE VALLEY SURPRISE PCU, ADDRESS: 14066 WEST WADDELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85379, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 18, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3447, LICENSE: HSPC4172, NAME: HOSPICE COMPASSUS-YUMA, LEGALLY: HOSPICE COMPASSUS-YUMA, ADDRESS: 1025 WEST 24TH STREET SUITE 15, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-6100, FAX: (928) 317-0311, CAPACITY: 0, COUNTY: YUMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3460, LICENSE: , NAME: ACE HEALTH CARE SERVICES, INC, LEGALLY: ACE HEALTH CARE SERVICES, INC, ADDRESS: 1037 SOUTH ALVERNON WAY, SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 886-0443, FAX: (520) 721-1925, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3462, LICENSE: HSPC4115, NAME: SUNRISE HEALTH AND HOSPICE, LEGALLY: SUNRISE HEALTH AND HOSPICE, ADDRESS: 1840 EAST UNIVERSITY DRIVE, SUITE 2, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 246-3500, FAX: (480) 246-3510, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3461, LICENSE: OTC5578, NAME: NEXTCARE URGENT CARE- VERDE VALLEY, LEGALLY: NEXTCARE URGENT CARE- VERDE VALLEY, ADDRESS: 450 SOUTH WILLARD STREET, SUITE 120, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-2574, FAX: (928) 634-2841, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3467, LICENSE: , NAME: TMC WOMEN'S HEALTH, LEGALLY: TMC WOMEN'S HEALTH, ADDRESS: 2100 NORTH ROSEMONT BOULEVARD, SUITE #100, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-1286, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3468, LICENSE: , NAME: TMC RADIOLOGY AT RINCON MEDICAL PLAZA, LEGALLY: TMC RADIOLOGY AT RINCON MEDICAL PLAZA, ADDRESS: 9348 EAST RITA ROAD, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (520) 574-3273, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3342, LICENSE: OTC4113, NAME: MINUTECLINIC - #3965 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3965, ADDRESS: 5975 WEST CHANDLER BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85226, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3330, LICENSE: OTC4114, NAME: MINUTECLINIC - #3264 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3264, ADDRESS: 3210 EAST UNION HILLS DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3463, LICENSE: OTC4116, NAME: NOVOCUR, LLC, LEGALLY: NOVOCUR, LLC, ADDRESS: 1076 WEST CHANDLER BOULEVARD, SUITE 109, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-4644, FAX: (480) 732-9948, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3459, LICENSE: OSC4133, NAME: DESERT RIDGE OUTPATIENT SURGERY CENTER, LEGALLY: DESERT RIDGE OUTPATIENT SURGERY CENTER, ADDRESS: 20940 NORTH TATUM BOULEVARD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 502-4000, FAX: (480) 502-4050, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3476, LICENSE: OSC4147, NAME: ARROWHEAD ENDOSCOPY & PAIN MANAGEMENT CENTER LLC, LEGALLY: ARROWHEAD ENDOSCOPY & PAIN MANAGEMENT CENTER LLC, ADDRESS: 18699 NORTH 67TH AVENUE, SUITE 140, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 376-8600, FAX: (623) 321-1166, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3477, LICENSE: OTC4142, NAME: SLEEP HEALTHCENTERS-WEST PHOENIX, LEGALLY: SLEEP HEALTHCENTERS-WEST PHOENIX, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 305, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 271-9323, FAX: (623) 321-6588, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3479, LICENSE: OTC5036, NAME: VHS ARIZONA IMAGING CENTERS, LP, THE, LEGALLY: VHS ARIZONA IMAGING CENTERS, LP, THE, ADDRESS: 1351 NORTH ALMA SCHOOL ROAD, SUITE 115, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-4661, FAX: (480) 899-0177, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3480, LICENSE: OTC5034, NAME: AZ-TECH RADIOLOGY & OPEN MRI - TEMPE, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI - TEMPE, ADDRESS: 2501 EAST SOUTHERN AVENUE, SUITE 8, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-2021, FAX: (480) 345-7080, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3496, LICENSE: HSPC4899, NAME: SUN VALLEY HOSPICE, LEGALLY: SUN VALLEY HOSPICE II, LLC, ADDRESS: 7227 EAST BASELINE ROAD, SUITE 129, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 558-2002, FAX: (480) 633-1556, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3497, LICENSE: , NAME: BANNER GOOD SAMARITAN OB/GYN-THE WOMEN'S CENTER, LEGALLY: BANNER GOOD SAMARITAN OB/GYN-THE WOMEN'S CENTER, ADDRESS: 1300 NORTH 12TH STREET, SUITE 407, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 329-4915, FAX: (602) 239-2359, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3499, LICENSE: HHA4501, NAME: BRIGHTSTAR HEALTHCARE MESA, LEGALLY: BRIGHTSTAR HEALTHCARE MESA, ADDRESS: 6859 EAST REMBRANDT AVENUE, SUITE 125, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 898-0880, FAX: (480) 898-0990, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3502, LICENSE: , NAME: KRMC IMAGING AND LABORATORY, LEGALLY: KRMC IMAGING AND LABORATORY, ADDRESS: 4995 HIGHWAY 68 SUITE 1, CITY: GOLDEN VALLEY, STATE: AZ, ZIP: 86413, PHONE: (928) 681-8502, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3503, LICENSE: , NAME: KRMC IMAGING CENTER, LEGALLY: KRMC IMAGING CENTER, ADDRESS: 1330 SYCAMORE, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 681-8600, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3506, LICENSE: OTC5071, NAME: SLEEP TESTING AND RESPIRATORY SERVICES - CHANDLER, LEGALLY: SLEEP TESTING AND RESPIRATORY SERVICES - CHANDLER, ADDRESS: 2350 WEST RAY ROAD, SUITE 2, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3507, LICENSE: OTC4212, NAME: QUICK VISIT URGENT CARE CENTER & WALK IN CLINIC, LEGALLY: QUICK VISIT URGENT CARE CENTER & WALK IN CLINIC INC., ADDRESS: 1930 WEST THUNDERBIRD ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 850-0000, FAX: (602) 346-9999, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3508, LICENSE: OTC4233, NAME: LITTLE CLINIC- PEORIA, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC- PEORIA, THE, ADDRESS: 9043 WEST OLIVE AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 776-2065, FAX: (623) 776-2052, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3491, LICENSE: OTC5035, NAME: AZ-TECH RADIOLOGY & OPEN MRI TEMPE, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI TEMPE, ADDRESS: 2501 EAST SOUTHERN AVENUE, SUITE 11, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-2021, FAX: (480) 345-7080, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3510, LICENSE: HHA4274, NAME: INNOVATIVE SENIOR CARE HOME HEALTH, LEGALLY: INNOVATIVE SENIOR CARE HOME HEALTH, ADDRESS: 2545 WEST FRYE ROAD, SUITE 10A, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 268-9327, FAX: (480) 459-5235, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3277, LICENSE: , NAME: PHOENIX CHILDRENS HOSPITAL ROSENBERG CENTER, LEGALLY: PHOENIX CHILDRENS HOSPITAL ROSENBERG CENTER, ADDRESS: 1920 EAST CAMBRIDGE AVENUE, SUITE 304, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-0200, FAX: (602) 546-2697, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00004, LICENSE: NONE, NAME: MAYO CLINIC HOSPITAL, LEGALLY: MAYO CLINIC HOSPITAL, ADDRESS: 5777 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 342-1900, FAX: (480) 342-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3504, LICENSE: OTC4676, NAME: RENAL CARE GROUP SAN TAN, LEGALLY: RENAL CARE GROUP SAN TAN, ADDRESS: 300 WEST HIGHWAY 287, SUITE 300, CITY: FLORENCE, STATE: AZ, ZIP: 85132, PHONE: (520) 868-1144, FAX: (520) 868-5983, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3512, LICENSE: , NAME: UNIVERSITY OF ARIZONA MED CTR- SO CAMPUS, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- SOUTH CAMPUS SPORTS MEDICINE CLINIC, THE, ADDRESS: 2800 EAST AJO WAY SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 874-2000, FAX: (520) 874-4042, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3514, LICENSE: OTC4188, NAME: ARIZONA MEDICAL SLEEP INSTITUTE, LEGALLY: ARIZONA MEDICAL SLEEP INSTITUTE, LLC, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-1 B, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-6676, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3515, LICENSE: OTC5014, NAME: CHOICE MEDICAL IMAGING OF ARIZONA, LEGALLY: CHOICE MEDICAL IMAGING OF ARIZONA, ADDRESS: 2919 SOUTH ELLSWORTH ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 358-9500, FAX: (480) 358-9525, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3518, LICENSE: FED ONLY, NAME: TOHONO O'ODHAM HOSPICE, LEGALLY: TOHONO O'ODHAM NURSING CARE AUTHORITY, ADDRESS: FEDERAL ROUTE 15, MILE POST 9, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-1893, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3519, LICENSE: OTC4112, NAME: CANYON PEDIATRICS/FAMILY- UNIVERSITY, LEGALLY: CANYON PEDIATRICS/FAMILY- UNIVERSITY, ADDRESS: 815 EAST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 507-2199, FAX: (480) 649-3416, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3520, LICENSE: OTC4234, NAME: MINUTECLINIC - #9210 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9210, ADDRESS: 10653 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3501, LICENSE: HHA4186, NAME: ZION HOME HEALTH CARE AGENCY, LEGALLY: ZION HOME HEALTH CARE AGENCY, ADDRESS: 4700 SOUTH MCCLINTOCK DRIVE, SUITE # 105, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 273-9222, FAX: (602) 275-2093, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3446, LICENSE: HHA4584, NAME: ATLANTIC HOME HEALTH CARE LLC, LEGALLY: ATLANTIC HOME HEALTH CARE LLC, ADDRESS: 10505 NORTH 69TH STREET, SUITE # 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85253, PHONE: (602) 633-6100, FAX: (602) 633-6111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3487, LICENSE: OTC4173, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA, LEGALLY: 21ST CENTURY ONCOLOGY OF ARIZONA, ADDRESS: 1281 EAST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 876-0150, FAX: (520) 421-3474, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3489, LICENSE: HHA4812, NAME: ANGEL CARE HEALTH SERVICES, INC, LEGALLY: ANGEL CARE HEALTH SERVICES, INC, ADDRESS: 1821 NORTH TREKELL ROAD, SUITE 6, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 876-0622, FAX: (520) 876-0747, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3509, LICENSE: OTC4191, NAME: WEST VALLEY URGENT CARE 3, LEGALLY: WEST VALLEY URGENT CARE 3, ADDRESS: 4110 NORTH 108TH AVENUE, A-101-102, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 218-0780, FAX: (623) 218-0786, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3527, LICENSE: HSPC4245, NAME: EAST VALLEY HOSPICE, PLC, LEGALLY: EAST VALLEY HOSPICE, PLC, ADDRESS: 1311 WEST CHANDLER BOULEVARD, SUITE 200, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 895-5434, FAX: (480) 305-5782, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3523, LICENSE: , NAME: SEVENTH AVENUE WALK IN CLINIC, LEGALLY: SEVENTH AVENUE WALK IN CLINIC, ADDRESS: 1201 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3524, LICENSE: , NAME: MIHS RADIOLOGY, LEGALLY: MIHS RADIOLOGY, ADDRESS: 12O1 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0241, LICENSE: H4436, NAME: BANNER BOSWELL MEDICAL CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER, ADDRESS: 10401 WEST THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-7211, FAX: (623) 876-5795, CAPACITY: 430, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3529, LICENSE: OTC4202, NAME: FRESENIUS MEDICAL CARE NORTHWEST TUCSON DIALYSIS, LEGALLY: FRESENIUS MEDICAL CARE NORTHWEST TUCSON DIALYSIS, ADDRESS: 6261 NORTH LA CHOLLA BOULEVARD, SUITE #181, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 297-1490, FAX: (520) 219-8966, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3530, LICENSE: OTC5380, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 210, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 543-6750, FAX: (480) 543-5907, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3532, LICENSE: , NAME: WARMC IMAGING CENTER, LEGALLY: WARMC IMAGING CENTER, ADDRESS: 1245 EAST HANCOCK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-9555, FAX: (928) 763-2735, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3517, LICENSE: OSC4286, NAME: BANNER CANYON SPRINGS SURGERY CENTER, LEGALLY: BANNER CANYON SPRINGS SURGERY CENTER, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 100, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 641-9292, FAX: (480) 830-5524, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3536, LICENSE: OTC4509, NAME: MOUNTAIN VISTA DIALYSIS CENTER OF ARIZONA, LEGALLY: MOUNTAIN VISTA DIALYSIS CENTER OF ARIZONA, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 357-8009, FAX: (480) 357-0372, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3537, LICENSE: OTC4236, NAME: NEXTCARE URGENT CARE-CURRY, LEGALLY: NEXTCARE URGENT CARE-CURRY, ADDRESS: 914 NORTH SCOTTSDALE ROAD, SUITE 104, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3539, LICENSE: OTC4264, NAME: PAYSON CHRISTIAN CLINIC, LEGALLY: PAYSON CHRISTIAN CLINIC, ADDRESS: 701 SOUTH PONDEROSA, SUITE D, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 468-2209, FAX: (928) 468-8034, CAPACITY: 0, COUNTY: GILA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3541, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL ROSENBERG CTR DERMATOL, LEGALLY: PHOENIX CHILDREN'S HOSPITAL ROSENBERG CTR DERMATOLOGY, NEPHROLOGY, RHEUMATOLOGY, ADDRESS: 1920 EAST CAMBRIDGE, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-4700, FAX: (602) 546-4701, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0243, LICENSE: H0156, NAME: WESTERN ARIZONA REGIONAL MEDICAL CTR, LEGALLY: WESTERN ARIZONA REGIONAL MEDICAL CENTER, ADDRESS: 2735 SILVER CREEK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2273, FAX: (928) 704-6785, CAPACITY: 139, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3559, LICENSE: HSPC4260, NAME: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, LEGALLY: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, ADDRESS: 1065 RUTH STREET, SUITE 108-109, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-5655, FAX: (928) 445-2497, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3546, LICENSE: OTC4217, NAME: YRMC WOUND CARE CENTER, LEGALLY: YRMC WOUND CARE CENTER, ADDRESS: 1501 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-2030, FAX: (928) 726-0345, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3547, LICENSE: NONE, NAME: EYE CLINIC, THE, LEGALLY: EYE CLINIC, THE, ADDRESS: 401 CALVARY WAY, SUITE D, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-2600, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3548, LICENSE: OTC4246, NAME: DOUGLAS DIALYSIS CENTER, LEGALLY: DOUGLAS DIALYSIS CENTER, ADDRESS: 99 16TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-2204, FAX: (520) 364-2296, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3549, LICENSE: , NAME: YRMC DIAGNOSTIC IMAGING DEPT/WOMEN'S HEALTH SPEC, LEGALLY: YRMC DIAGNOSTIC IMAGING DEPARTMENT/WOMEN'S HEALTH SPECIALIST, ADDRESS: 2911 SOUTH 8TH AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-2080, FAX: (928) 726-0345, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3551, LICENSE: OTC5551, NAME: FASTMED URGENT CARE-EL DORADO, LEGALLY: FASTMED URGENT CARE- EL DORADO, ADDRESS: 1400 NORTH WILMOT ROAD, SUITE 110, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3552, LICENSE: OTC4221, NAME: SAN TAN URGENT CARE HEALTH CENTER, LEGALLY: SAN TAN URGENT CARE HEALTH CENTER, ADDRESS: 21321 EAST OCOTILLO ROAD SUITE 118, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 458-5135, FAX: (480) 458-5241, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3554, LICENSE: OTC4283, NAME: PET SCAN ARIZONA-PEORIA, LEGALLY: PET SCAN ARIZONA-PEORIA, ADDRESS: 13460 NORTH 94TH DRIVE, SUITE J-1, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 566-3777, FAX: (623) 566-1216, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3553, LICENSE: OTC4282, NAME: PET SCAN ARIZONA-PHOENIX, LEGALLY: PET SCAN ARIZONA-PHOENIX, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 305, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 589-7226, FAX: (602) 589-0816, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3558, LICENSE: , NAME: BANNER GATEWAY OUTPATIENT TREATMENT CENTER, LEGALLY: BANNER GATEWAY OUTPATIENT TREATMENT CENTER, ADDRESS: 1920 NORTH HIGLEY ROAD, SUITE 306, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-2606, FAX: (480) 543-2672, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3560, LICENSE: OTC4218, NAME: GOOD NIGHT SLEEP WELLNESS CENTER, LEGALLY: GOOD NIGHT SLEEP WELLNESS CENTER, ADDRESS: 14535 WEST INDIAN SCHOOL ROAD SUITE 120, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 792-5427, FAX: (623) 792-5428, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3564, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- IMAGING, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- UNIVERSITY IMAGING CENTER, THE, ADDRESS: 4291 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 425-8900, FAX: (520) 425-8990, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3565, LICENSE: OTC4266, NAME: CANCER TREATMENT SERVICES-ARIZONA, LEGALLY: CANCER TREATMENT SERVICES-ARIZONA, ADDRESS: 1876 EAST SABIN DRIVE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-9800, FAX: (520) 836-1510, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3488, LICENSE: H4208, NAME: MOUNTAIN VISTA MEDICAL CENTER, LP, LEGALLY: MOUNTAIN VISTA MEDICAL CENTER, LP, ADDRESS: 1301 SOUTH CRISMON ROAD, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 358-6100, FAX: (480) 354-2678, CAPACITY: 178, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3567, LICENSE: OTC4292, NAME: LITTLE CLINIC-WEST BELL ROAD, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC WEST BELL ROAD, THE, ADDRESS: 2727 WEST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 680-2386, FAX: (602) 680-2387, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3569, LICENSE: , NAME: ARROWHEAD HOSPITAL CARDIAC REHABILITATION SERVICES, LEGALLY: ARROWHEAD HOSPITAL CARDIAC REHABILITATION SERVICES, ADDRESS: ARROWHD MED OFC BLDG II, STE 105, 18700 N 64TH DR, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-7489, FAX: (623) 572-4583, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3572, LICENSE: , NAME: PARADISE VALLEY HOSPITAL REHABILITATION SERVICES, LEGALLY: PARADISE VALLEY HOSPITAL REHABILITATION SERVICES, ADDRESS: 3805 EAST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-5648, FAX: (602) 923-5755, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3576, LICENSE: OTC4263, NAME: TROYER URGENT CARE, LEGALLY: TROYER URGENT CARE, ADDRESS: 1810 MESQUITE AVENUE, SUITE B, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-4600, FAX: (928) 453-4606, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3579, LICENSE: , NAME: PHOENIX CHILDREN'S SPECIALTY&URGENT CARE,E VLY CTR, LEGALLY: PHOENIX CHILDREN'S SPECIALTY AND URGENT CARE, EAST VALLEY CENTER OTC 2, ADDRESS: 5131 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 833-5437, FAX: (602) 546-5243, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3595, LICENSE: HHA4402, NAME: VIRGIN VALLEY HOME CARE, LEGALLY: VIRGIN VALLEY HOME CARE, ADDRESS: 315 CALAIS DRIVE, SUITE A, CITY: MESQUITE, STATE: NV, ZIP: 89027, PHONE: (702) 346-7565, FAX: (702) 346-7566, CAPACITY: 0, COUNTY: CLARK TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3581, LICENSE: OTC4341, NAME: SUMMIT HEALTHCARE HEBER-OVERGAARD COMMUNITY CLINIC, LEGALLY: SUMMIT HEALTHCARE HEBER-OVERGAARD COMMUNITY CLINIC, ADDRESS: 2931 SOUTH HIGHWAY 260, CITY: OVERGAARD, STATE: AZ, ZIP: 85933, PHONE: (928) 535-3616, FAX: (928) 535-3615, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3582, LICENSE: OTC4343, NAME: SUMMIT HEALTHCARE SNOWFLAKE, LEGALLY: SUMMIT HEALTHCARE SNOWFLAKE, ADDRESS: 1121 SOUTH MAIN STREET, CITY: SNOWFLAKE, STATE: AZ, ZIP: 85937, PHONE: (928) 536-5000, FAX: (928) 536-5011, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3583, LICENSE: OTC4342, NAME: SUMMIT HEALTHCARE CUB LAKE, LEGALLY: SUMMIT HEALTHCARE CUB LAKE, ADDRESS: 5171 CUB LAKE ROAD, SUITE 330, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-6903, FAX: (928) 537-0033, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0211, LICENSE: SH0147, NAME: BANNER BEHAVIORAL HEALTH HOSPITAL, LEGALLY: BANNER BEHAVIORAL HEALTH HOSPITAL, ADDRESS: 7575 EAST EARLL DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 941-7500, FAX: (480) 994-5558, CAPACITY: 78, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3586, LICENSE: OTC5373, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 4400 NORTH 32ND STREET, SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 254-4424, FAX: (602) 254-6036, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3587, LICENSE: OTC5595, NAME: BANNER OCCUPATIONAL HEALTH SERVICES, LEGALLY: BANNER OCCUPATIONAL HEALTH SERVICES, ADDRESS: 1920 NORTH HIGLEY ROAD, SUITE 108, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-2690, FAX: (480) 543-2689, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3588, LICENSE: , NAME: PALOMINAS / HEREFORD RURAL HEALTH CLINIC, LEGALLY: PALOMINAS/HEREFORD RURAL HEALTH CLINIC, ADDRESS: 10524 EAST HIGHWAY 92, CITY: PALOMINAS, STATE: AZ, ZIP: 85615, PHONE: (520) 366-0300, FAX: (520) 432-1724, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3590, LICENSE: OTC4289, NAME: CHRIS TOWN YMCA COMMUNITY HEALTH CENTER, LEGALLY: CHRIS TOWN YMCA COMMUNITY HEALTH CENTER, ADDRESS: 5517 NORTH 17TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3592, LICENSE: , NAME: BANNER GATEWAY MEDICAL CENTER- WOMEN'S IMAGING CEN, LEGALLY: BANNER GATEWAY MEDICAL CENTER- WOMEN'S IMAGING CENTER, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 150, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-6900, FAX: (480) 543-6947, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3593, LICENSE: OTC4247, NAME: OPEN MRI SOLUTIONS LLC, LEGALLY: OPEN MRI SOLUTIONS LLC, ADDRESS: 1020 EAST PALMDALE STREET, SUITE 150, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 434-0404, FAX: (520) 889-4241, CAPACITY: 0, COUNTY: PIMA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3594, LICENSE: OTC4239, NAME: SAGUARO REHABILITATION AND AQUATIC THERAPY, LEGALLY: SAGUARO REHABILITATION AND AQUATIC THERAPY, ADDRESS: 305 NORTH PLAZA DRIVE, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85120, PHONE: (480) 982-7794, FAX: (480) 982-0747, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3602, LICENSE: OTC4407, NAME: STAT CLINIX-PAYSON, LEGALLY: STAT CLINIX-PAYSON, ADDRESS: 101 EAST HIGHWAY 260, SUITE G, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 478-8905, FAX: (628) 478-8915, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3607, LICENSE: OTC4244, NAME: MINUTECLINIC - #9302 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9302, ADDRESS: 8920 EAST TANQUE VERDE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85749, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3606, LICENSE: OTC4243, NAME: MINUTECLINIC - #7855 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7855, ADDRESS: 2601 SOUTH HOUGHTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85731, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3605, LICENSE: OTC4240, NAME: MINUTECLINIC - #9374 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9374, ADDRESS: 1900 WEST VALENCIA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3604, LICENSE: OTC4242, NAME: MINUTECLINIC - #7876 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7876, ADDRESS: 3832 EAST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3603, LICENSE: OTC4241, NAME: MINUTECLINIC - #9273 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9273, ADDRESS: 3785 WEST INA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED3608, LICENSE: HSPC4401, NAME: VIRGIN VALLEY HOSPICE, LEGALLY: VIRGIN VALLEY HOSPICE, ADDRESS: 315 CALAIS DRIVE, SUITE B, CITY: MESQUITE, STATE: NV, ZIP: 89027, PHONE: (702) 346-7565, FAX: (702) 346-7566, CAPACITY: 0, COUNTY: CLARK TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0239, LICENSE: H0155, NAME: BANNER BAYWOOD MEDICAL CENTER, LEGALLY: BANNER BAYWOOD MEDICAL CENTER, ADDRESS: 6644 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 321-2000, FAX: (480) 981-4198, CAPACITY: 340, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3610, LICENSE: OTC4346, NAME: ALLIANCE URGENT CARE - GILBERT, LEGALLY: ALLIANCE URGENT CARE - GILBERT, ADDRESS: 1660 NORTH HIGLEY ROAD, SUITE #104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 830-8011, FAX: (480) 830-8012, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3611, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- ALVERNON, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ALVERNON CLINIC, THE, ADDRESS: 707 NORTH ALVERNON, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-1611, FAX: (520) 694-1640, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3614, LICENSE: OTC4413, NAME: NORTH COUNTRY HEALTHCARE-KINGMAN, LEGALLY: NORTH COUNTRY HEALTHCARE-KINGMAN, ADDRESS: 1510 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-1177, FAX: (928) 753-1178, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3616, LICENSE: HHA4404, NAME: VITAL WELLNESS HOME HEALTH, LEGALLY: VITAL WELLNESS HOME HEALTH, ADDRESS: 10451 WEST PALMERAS DRIVE, SUITE 209E, CITY: SUN CITY, STATE: AZ, ZIP: 85373, PHONE: (623) 933-1896, FAX: (623) 933-4015, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3617, LICENSE: , NAME: BANNER GOOD SAMARITAN MEDICAL CTR- BGS SPECIALTY C, LEGALLY: BANNER GOOD SAMARITAN MEDICAL CENTER- BGS SPECIALTY CLINIC, ADDRESS: 925 EAST MCDOWELL ROAD, 3RD FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-4777, FAX: (602) 239-5806, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3620, LICENSE: OTC5432, NAME: ALLIANCE IMAGING, LEGALLY: ALLIANCE IMAGING, ADDRESS: 4520 EAST GRANT ROAD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 289-8089, FAX: (520) 289-8090, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3621, LICENSE: OTC5085, NAME: MEDICAL DIAGNOSTIC CENTER, INC., LEGALLY: MEDICAL DIAGNOSTIC CENTER, INC., ADDRESS: 16601 NORTH 40TH STREET, SUITE 129, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 256-6555, FAX: (602) 256-7555, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3635, LICENSE: HHA4392, NAME: ADVANCED HOME CARE, LEGALLY: AHC HOME HEALTH OF ARIZONA LLC, ADDRESS: 5755 EAST MAIN STREET, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 214-2448, FAX: (480) 832-9693, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3623, LICENSE: OTC4332, NAME: ACTIVE LIFE PHYSICAL THERAPY, LEGALLY: ACTIVE LIFE PHYSICAL THERAPY, ADDRESS: 957 BLACK DRIVE, SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 778-9898, FAX: (928) 771-9159, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3624, LICENSE: HSPC4398, NAME: SOULISTIC HOSPICE, LEGALLY: SOULISTIC HOSPICE, ADDRESS: 26 TUBAC ROAD, SUITE C1 & C2, CITY: TUBAC, STATE: AZ, ZIP: 85646, PHONE: (520) 398-2333, FAX: (520) 398-9544, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3632, LICENSE: OTC4449, NAME: SOLIS BENORA MAMMOGRAPHY, LEGALLY: SOLIS BENORA MAMMOGRAPHY, ADDRESS: 1313 EAST OSBORN ROAD, SUITE 213, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 288-6418, FAX: (602) 234-3183, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3574, LICENSE: OTC4262, NAME: CIGNA MESA HEALTH CARE CENTER, LEGALLY: CIGNA MESA HEALTH CARE CENTER, ADDRESS: 4360 EAST BROWN ROAD, SUITE 113, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3637, LICENSE: OTC4393, NAME: WESTBROOK DIALYSIS CENTER, LEGALLY: WESTBROOK DIALYSIS CENTER, ADDRESS: 13907 WEST CAMINO DEL SOL, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-7088, FAX: (623) 214-0109, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3627, LICENSE: OTC4265, NAME: SAMC DRAW STATION, LEGALLY: SAMC DRAW STATION, ADDRESS: 1932 11TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 805-9685, FAX: (850) 805-9682, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3631, LICENSE: OTC4348, NAME: DESERT DIALYSIS SAHUARITA, LEGALLY: DESERT DIALYSIS SAHUARITA, ADDRESS: 1700 WEST COMMERCE POINT PLACE, CITY: SAHUARITA, STATE: AZ, ZIP: 85629, PHONE: (520) 625-0103, FAX: (520) 625-0107, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3639, LICENSE: OTC4303, NAME: CONTINENTAL SCHOOL WELLNESS CENTER, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 1991 EAST WHITEHOUSE CANYON ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4581, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3640, LICENSE: OTC4381, NAME: WEST SIDE HEALTH CENTER, LEGALLY: WEST SIDE HEALTH CENTER, ADDRESS: 2202 WEST ANKLAM ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85709, PHONE: (520) 616-6790, FAX: (520) 622-0849, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3643, LICENSE: OTC4298, NAME: MINUTECLINIC - #9252 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9252, ADDRESS: 14672 NORTH FRANK LLOYD WRIGHT BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3646, LICENSE: OTC4728, NAME: ADELANTE HEALTHCARE - PHOENIX, LEGALLY: ADELANTE HEALTHCARE - PHOENIX, ADDRESS: 7725 NORTH 43RD AVENUE, SUITE 510, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (623) 583-3001, FAX: (623) 583-3007, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0233, LICENSE: SH0149, NAME: ST LUKES BEHAVIORAL HOSPITAL, LEGALLY: ST LUKES BEHAVIORAL HOSPITAL, LP, ADDRESS: 1800 EAST VAN BUREN, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 251-8535, FAX: (602) 251-8707, CAPACITY: 124, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3649, LICENSE: OTC4290, NAME: URGENT CARE EXTRA-CHANDLER, LEGALLY: EAST VALLEY URGENT CARE-CHANDLER, ADDRESS: 3200 SOUTH GILBERT ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85286, PHONE: (480) 840-3075, FAX: (480) 988-0061, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3656, LICENSE: OTC4319, NAME: TAKE CARE HEALTH AZ-STORE #4103 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4103, ADDRESS: 10405 LA CANADA, CITY: TUCSON, STATE: AZ, ZIP: 85737, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3655, LICENSE: OTC4300, NAME: TAKE CARE HEALTH AZ-STORE #4266 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4266, ADDRESS: 2150 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3654, LICENSE: OTC4280, NAME: TAKE CARE HEALTH AZ-STORE #5750 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5750, ADDRESS: 10315 EAST BROADWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3653, LICENSE: OTC4281, NAME: TAKE CARE HEALTH AZ-STORE #5892 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5892, ADDRESS: 3910 EAST 22ND STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (484) 351-3591, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3651, LICENSE: OTC4305, NAME: TAKE CARE HEALTH AZ-STORE #6571 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6571, ADDRESS: 2180 WEST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3657, LICENSE: HSPC4331, NAME: PRIME CARE HOSPICE, LLC, LEGALLY: PRIME CARE HOSPICE, LLC, ADDRESS: 4225 WEST GLENDALE AVENUE, SUITE A-200, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (623) 847-2323, FAX: (623) 847-2626, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3563, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- ORANGE, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ORANGE GROVE CAMPUS, THE, ADDRESS: 1891 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-4183, FAX: (520) 742-4110, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3663, LICENSE: OTC4324, NAME: EXPRESS MEDICAL CARE (URGENT CARE), LEGALLY: EXPRESS MEDICAL CARE, ADDRESS: 2002 STOCKTON HILL ROAD, SUITE 102, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 718-4375, FAX: (928) 718-0348, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3665, LICENSE: OTC4310, NAME: MINUTECLINIC - #9290 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9290, ADDRESS: 4430 EAST RAY ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3667, LICENSE: OTC4340, NAME: NORTHWEST TUCSON DIALYSIS, LEGALLY: NORTHWEST TUCSON DIALYSIS LLC, ADDRESS: 2945 WEST INA ROAD, SUITE #105, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 797-0049, FAX: (520) 229-8957, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3668, LICENSE: OTC4315, NAME: SCOTTSDALE HEALTHCARE CORPORATE HEALTH, LEGALLY: SCOTTSDALE HEALTHCARE CORPORATE HEALTH, ADDRESS: 16101 NORTH 82ND STREET, SUITE A-8, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-1880, FAX: (480) 905-1136, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3671, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER - WOUND CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER - WOUND CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-1, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-6580, FAX: (623) 974-8413, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3672, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER - PAIN CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER - PAIN CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE H-5, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-7246, FAX: (623) 972-0049, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3674, LICENSE: OTC4394, NAME: GRAND HOME DIALYSIS, LEGALLY: GRAND HOME DIALYSIS, ADDRESS: 14674 WEST MOUNTAIN VIEW BLVD, SUITE 204, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 546-6120, FAX: (623) 546-2693, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3675, LICENSE: OTC4328, NAME: MINUTECLINIC - #7841 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7841, ADDRESS: 4365 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (401) 770-5422, FAX: (847) 559-4879, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3680, LICENSE: OTC4913, NAME: PREMIER PAIN MANAGEMENT, LEGALLY: PREMIER PAIN MANAGEMENT, LLC, ADDRESS: 4540 EAST BASELINE ROAD, SUITE #105, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 272-8944, FAX: (480) 237-5682, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3681, LICENSE: HSPC4374, NAME: VALOR HOSPICECARE, LLC, LEGALLY: VALOR HOSPICECARE, LLC, ADDRESS: 2039 EAST WILCOX DRIVE, SUITE B, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-9450, FAX: (520) 458-9455, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3682, LICENSE: OTC4344, NAME: PREGNANCY CARE CENTER OF CHANDLER, LEGALLY: PREGNANCY CARE CENTER OF CHANDLER, ADDRESS: 590 NORTH ALMA SCHOOL ROAD SUITE 20, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 374-2994, FAX: (480) 374-2993, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3685, LICENSE: OTC4321, NAME: HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE, LEGALLY: HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE, LLC, ADDRESS: 77 EAST FRY BOULEVARD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-8915, FAX: (520) 458-9424, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3698, LICENSE: HHA4386, NAME: ASSISTEO HOME HEALTH, LEGALLY: ASSISTEO HOME HEALTH, ADDRESS: 2929 NORTH 44TH STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 535-0610, FAX: (602) 293-3717, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3687, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- ALVERNON, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ALVERNON CLINIC, THE, ADDRESS: 707 NORTH ALVERNON WAY, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-8065, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3670, LICENSE: OSC4279, NAME: YUMA REGIONAL OUTPATIENT SURGICAL CENTER, LLC, LEGALLY: YUMA REGIONAL OUTPATIENT SURGICAL CENTER, LLC, ADDRESS: 2261 SOUTH AVENUE B, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-2180, FAX: (928) 373-0754, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3689, LICENSE: OTC4419, NAME: LITTLE CLINIC-AVONDALE, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC AVONDALE, THE, ADDRESS: 11425 WEST BUCKEYE ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 241-5316, FAX: (623) 241-5317, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3691, LICENSE: OTC4382, NAME: LITTLE CLINIC-NORTH DYSART ROAD, THE (STORE CLINIC, LEGALLY: LITTLE CLINIC NORTH DYSART ROAD, THE, ADDRESS: 1575 NORTH DYSART ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 687-9883, FAX: (623) 687-9884, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3731, LICENSE: HHA4479, NAME: ADVANCED CLINICAL ASSOCIATES, LLC, LEGALLY: ADVANCED CLINICAL ASSOCIATES, LLC, ADDRESS: 14358 NORTH FRANK LLOYD WRIGHT BLVD, SUITE 12, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (602) 373-0540, FAX: (480) 361-1568, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0198, LICENSE: H0119, NAME: SIERRA VISTA REGIONAL HEALTH CENTER INC, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER, INC, ADDRESS: 300 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-4641, FAX: (520) 471-3297, CAPACITY: 88, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3697, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER SLEEP CENTER, LEGALLY: VERDE VALLEY MEDICAL CENTER SLEEP CENTER, ADDRESS: 294 WEST HIGHWAY 89A, SUITE 214, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6382, FAX: (928) 639-5570, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3573, LICENSE: SH4326, NAME: KINDRED HOSPITAL ARIZONA- NORTHWEST PHOENIX, LEGALLY: KINDRED HOSPITAL ARIZONA- NORTHWEST PHOENIX, ADDRESS: 13216 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 974-5463, FAX: (623) 977-3627, CAPACITY: 58, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3706, LICENSE: OSC4836, NAME: SOUTHWEST ENDOSCOPY & SURGICENTER, LLC, LEGALLY: SOUTHWEST ENDOSCOPY & SURGICENTER, LLC, ADDRESS: 2223 EAST BASELINE ROAD, SUITE # B, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 289-5266, FAX: (480) 844-2081, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3701, LICENSE: OTC4337, NAME: SURPRISE FAMILY URGENT CARE, LEGALLY: SURPRISE FAMILY URGENT CARE, ADDRESS: 17014 WEST BELL ROAD, SUITE 100, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 249-7852, FAX: (623) 249-7854, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3707, LICENSE: OSC4384, NAME: AHWATUKEE SURGERY CENTER, LEGALLY: AHWATUKEE SURGERY CENTER, ADDRESS: 15810 SOUTH 45TH STREET, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 747-6240, FAX: (480) 747-6238, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3710, LICENSE: OTC4372, NAME: TAKE CARE HEALTH AZ-STORE #5156 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5156, ADDRESS: 7800 NORTH CORTARO ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3711, LICENSE: OTC4936, NAME: VHS, ARIZONA HEART INSTITUTE - PAYSON, LEGALLY: VHS, ARIZONA HEART INSTITUTE - PAYSON, ADDRESS: 708 COEUR D'ALENE LANE, SUITE B, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-2175, FAX: , CAPACITY: 0, COUNTY: GILA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3718, LICENSE: , NAME: TMC CARDIAC REHABILITATION, LEGALLY: TMC CARDIAC REHABILITATION, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5471, FAX: (520) 324-1458, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3722, LICENSE: OTC5008, NAME: SOLIS BENORA MAMMOGRAPHY, LEGALLY: SOLIS BENORA MAMMOGRAPHY, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUITE 213, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (469) 398-4100, FAX: (469) 398-4108, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3717, LICENSE: OTC5219, NAME: SOLIS BENORA MAMMOGRAPHY, LEGALLY: SOLIS BENORA MAMMOGRAPHY, ADDRESS: 11220 N TATUM BLVD STE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 234-2601, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3732, LICENSE: HHA4524, NAME: DIVINE TOUCH HEALTH SERVICES, INC, LEGALLY: DIVINE TOUCH HEALTH SERVICES, INC, ADDRESS: 3442 WEST PARADISE DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 864-5040, FAX: (602) 864-5016, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3733, LICENSE: OTC4350, NAME: FRESENIUS MEDICAL CARE TUCSON WEST DIALYSIS, LEGALLY: FRESENIUS MEDICAL CARE TUCSON WEST, ADDRESS: 100 WEST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 624-0266, FAX: (520) 624-4786, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3738, LICENSE: OTC5596, NAME: SIERRA VISTA MEDICAL GROUP- LUNG CENTER, LEGALLY: SIERRA VISTA MEDICAL GROUP- LUNG CENTER, ADDRESS: 198 SOUTH CORONADO DRIVE, SUITE A, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-0542, FAX: (520) 417-0581, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3666, LICENSE: OTC4354, NAME: FRESENIUS MEDICAL CARE-GOODYEAR, LEGALLY: FRESENIUS MEDICAL CARE-GOODYEAR, ADDRESS: 500 NORTH BULLARD AVENUE, BLDG C, SUITE 33-36, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 925-8955, FAX: (623) 925-8959, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00246, LICENSE: NONE, NAME: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, LEGALLY: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, ADDRESS: 350 WEST THOMAS ROAD, SUITE #500, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3792, FAX: (602) 798-9884, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2149, LICENSE: H3027, NAME: PARADISE VALLEY HOSPITAL, LEGALLY: PARADISE VALLEY HOSPITAL, ADDRESS: 3929 EAST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-5000, FAX: (602) 923-5657, CAPACITY: 136, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3725, LICENSE: OTC4362, NAME: SOLIS BENORA MAMMOGRAPHY, LEGALLY: SOLIS BENORA MAMMOGRAPHY, ADDRESS: 900 WEST CHANDLER BOULEVARD, SUITE A 4, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (469) 398-4114, FAX: (972) 767-3982, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3743, LICENSE: , NAME: KEARNY CLINIC, LEGALLY: KEARNY CLINIC, ADDRESS: 100 TILBURY DRIVE, CITY: KEARNY, STATE: AZ, ZIP: 85237, PHONE: (928) 425-3261, FAX: (520) 363-5611, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED1078, LICENSE: SH1852, NAME: GUIDANCE CENTER,THE, LEGALLY: GUIDANCE CENTER, THE, ADDRESS: 2187 NORTH VICKEY STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 527-1899, FAX: (928) 527-0028, CAPACITY: 16, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3775, LICENSE: HHA4417, NAME: OASIS HOME HEALTH CARE, LEGALLY: OASIS HOME HEALTH CARE, ADDRESS: 1106 NORTH PINAL AVENUE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 421-1120, FAX: (520) 421-2877, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3726, LICENSE: OTC5228, NAME: SOLIS BENORA MAMMOGRAPHY, LEGALLY: SOLIS BENORA MAMMOGRAPHY, ADDRESS: 13065 WEST MC DOWELL ROAD, SUITE C-105, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (469) 398-4114, FAX: (972) 767-3982, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3744, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER PHYSICIANS GROUP, LEGALLY: VERDE VALLEY MEDICAL CENTER PHYSICIANS GROUP, ADDRESS: 450 S WILLARD STREET, SUITE 107, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-0909, FAX: (928) 639-4632, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3648, LICENSE: OTC4357, NAME: RIM COUNTRY DIALYSIS, LEGALLY: RIM COUNTRY DIALYSIS, ADDRESS: 809 WEST LONGHORN ROAD, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-7000, FAX: (928) 474-9983, CAPACITY: 0, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3786, LICENSE: HSPC4397, NAME: HOSPICE COMPASSUS-BULLHEAD CITY, LEGALLY: HOSPICE COMPASSUS-BULLHEAD CITY, ADDRESS: 1225 HANCOCK ROAD, SUITE 200, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-6433, FAX: (928) 763-6437, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3748, LICENSE: OTC4495, NAME: TAKE CARE HEALTH AZ-STORE #4434 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #4434, ADDRESS: 22280 NORTH 67TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85310, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3747, LICENSE: OTC4499, NAME: TAKE CARE HEALTH AZ-STORE #4139 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #4139, ADDRESS: 3450 WEST DUNLAP ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3754, LICENSE: OTC4442, NAME: TAKE CARE HEALTH AZ-STORE #6177 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6177, ADDRESS: 1135 NORTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3755, LICENSE: OSC4415, NAME: DESERT MIRAGE SURGERY CENTER, LEGALLY: DESERT MIRAGE SURGERY CENTER, ADDRESS: 12361 WEST BOLA DRIVE, SUITE 112, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 815-5000, FAX: (623) 815-5099, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3762, LICENSE: OTC4496, NAME: TAKE CARE HEALTH AZ-STORE #3049 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3049, ADDRESS: 4965 WEST BELL ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3761, LICENSE: OTC4494, NAME: TAKE CARE HEALTH AZ-STORE #5222 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5222, ADDRESS: 9040 WEST PEORIA AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3759, LICENSE: OTC4497, NAME: TAKE CARE HEALTH AZ-STORE #5776 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5776, ADDRESS: 1451 NORTH DYSART ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3764, LICENSE: OTC4645, NAME: TAKE CARE HEALTH AZ-STORE #3177 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3177, ADDRESS: 7011 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3766, LICENSE: OTC4445, NAME: TAKE CARE HEALTH AZ-STORE #6692 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6692, ADDRESS: 4766 EAST QUEEN CREEK ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3768, LICENSE: OTC4441, NAME: TAKE CARE HEALTH AZ-STORE #4793 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4793, ADDRESS: 1975 SOUTH ALMA SCHOOL ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3769, LICENSE: OTC4446, NAME: TAKE CARE HEALTH AZ-STORE #3008 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3008, ADDRESS: 785 SOUTH COOPER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3770, LICENSE: OTC4595, NAME: TAKE CARE HEALTH AZ-STORE #3163 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3163, ADDRESS: 3420 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3771, LICENSE: OTC4505, NAME: TAKE CARE HEALTH AZ-STORE #3464 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3464, ADDRESS: 3402 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3772, LICENSE: OTC5165, NAME: MHC PRIMARY CARE HEALTH CENTER, LEGALLY: MHC PRIMARY CARE HEALTH CENTER, ADDRESS: 2355 NORTH WYATT DRIVE, SUITE #101, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 616-4948, FAX: (520) 616-4958, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3750, LICENSE: OTC4707, NAME: MEDICAL CENTERS OF ARIZONA, LEGALLY: MEDICAL CENTERS OF ARIZONA, ADDRESS: 3620 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 841-8273, FAX: (602) 841-8773, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3788, LICENSE: HSPC4399, NAME: HOSPICE FAMILY CARE INPATIENT UNIT- CASA GRANDE, LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT- CASA GRANDE, ADDRESS: 950 NORTH ARIZOLA ROAD, SUITE 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (480) 461-3144, FAX: (480) 844-9711, CAPACITY: 8, COUNTY: PINAL TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3575, LICENSE: , NAME: RIVER CITIES COMMUNITY CLINIC, LEGALLY: RIVER CITIES COMMUNITY CLINIC, ADDRESS: 813 HANCOCK ROAD, SUITE 1-2, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-9700, FAX: (928) 704-9774, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3777, LICENSE: OSC4443, NAME: SOUTHEAST VALLEY ENDOSCOPY CENTER, LLC, LEGALLY: SOUTHEAST VALLEY ENDOSCOPY CENTER, LLC, ADDRESS: 875 SOUTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-9800, FAX: (480) 899-2994, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3783, LICENSE: HSPC4610, NAME: LEGACY HOSPICE, LEGALLY: LEGACY HOSPICE, ADDRESS: 15474 NORTH GREENWAY HAYDEN LOOP, SUITE B20, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 423-3400, FAX: (480) 423-6852, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3785, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT DIAG, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT DIAGNOSTICS, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE A101, CITY: SUN CITY, STATE: AZ, ZIP: 85375, PHONE: (623) 876-5652, FAX: (623) 876-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3792, LICENSE: OSC4418, NAME: SONORAN DESERT SURGERY CENTER, LEGALLY: SONORAN DESERT SURGERY CENTER, ADDRESS: 895 SOUTH DOBSON ROAD, SUITE #3, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-0110, FAX: (480) 899-6262, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2910, LICENSE: H3690, NAME: BANNER ESTRELLA MEDICAL CENTER, LEGALLY: BANNER ESTRELLA MEDICAL CENTER, ADDRESS: 9201 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4000, FAX: (623) 327-5110, CAPACITY: 214, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3797, LICENSE: OTC4395, NAME: SCOTTSDALE HEALTHCARE SLEEP DISORDERS CENTER, LEGALLY: SCOTTSDALE HEALTHCARE SLEEP DISORDERS CENTER, ADDRESS: 9377 EAST BELL ROAD, SUITE 143, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-3200, FAX: (480) 323-3251, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3798, LICENSE: OTC4412, NAME: SCOTTSDALE HEALTHCARE PAIN MANAGEMENT CENTER, LEGALLY: SCOTTSDALE HEALTHCARE PAIN MANAGEMENT CENTER, ADDRESS: 10200 NORTH 92ND STREET, SUITE 140, MOB #4, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-3911, FAX: (480) 323-3913, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3799, LICENSE: OTC4504, NAME: DESERT VALLEY URGENT CARE, LEGALLY: DESERT VALLEY URGENT CARE, ADDRESS: 250 WEST CHANDLER HEIGHTS BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 659-2759, FAX: (480) 802-1280, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3800, LICENSE: , NAME: COBRE VALLEY SURGICAL SERVICES, LEGALLY: COBRE VALLEY SURGICAL SERVICES, ADDRESS: 5994 SOUTH HOSPITAL DRIVE, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3247, FAX: (928) 425-3859, CAPACITY: 0, COUNTY: GILA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3802, LICENSE: OTC4482, NAME: CENTRAL MESA DIALYSIS CENTER, LEGALLY: CENTRAL MESA DIALYSIS CENTER, ADDRESS: 1134 EAST UNIVERSITY DRIVE, SUITE 101-109, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 464-3851, FAX: (480) 668-1460, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3804, LICENSE: OSC4426, NAME: ST MICHAEL'S CENTER FOR SPECIAL SURGERY-SCOTTSDALE, LEGALLY: ST MICHAEL'S CENTER FOR SPECIAL SURGERY-SCOTTSDALE, ADDRESS: 9377 EAST BELL ROAD, SUITE 201, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 563-4263, FAX: (480) 563-1002, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3806, LICENSE: OTC5058, NAME: FASTRAX URGENT CARE CENTER, LEGALLY: FASTRAX URGENT CARE CENTER, ADDRESS: 4995 WEST HIGHWAY 68, CITY: GOLDEN VALLEY, STATE: AZ, ZIP: 86413, PHONE: (928) 718-5200, FAX: (928) 718-0522, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2944, LICENSE: H3683, NAME: ORO VALLEY HOSPITAL, LEGALLY: ORO VALLEY HOSPITAL, ADDRESS: 1551 EAST TANGERINE ROAD, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 901-3500, FAX: (520) 901-3525, CAPACITY: 144, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3805, LICENSE: OTC4627, NAME: GOOD HEALTH URGENT CARE, PLLC, LEGALLY: GOOD HEALTH URGENT CARE, ADDRESS: 287 EAST HUNT HIGHWAY, SUITE 104, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85143, PHONE: (480) 677-8282, FAX: (480) 677-8283, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3809, LICENSE: OSC4486, NAME: PAIN MD'S AMBULATORY SURGICAL CENTER, LLC, LEGALLY: PAIN MD'S AMBULATORY SURGICAL CENTER, LLC, ADDRESS: 16222 NORTH 59TH AVENUE, SUITE A-115, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (623) 334-4000, FAX: (623) 334-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3817, LICENSE: HHA4508, NAME: GUARDIAN ANGEL HOME CARE, INC, LEGALLY: GUARDIAN ANGEL HOME CARE, INC, ADDRESS: 3101 WEST PEORIA AVENUE, SUITE 108, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 866-5365, FAX: (602) 866-5368, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3828, LICENSE: HSPC4558, NAME: HOSPICE OF THE VALLEY'S NORTH SUN CITY PCU 031515, LEGALLY: HOSPICE OF THE VALLEY'S NORTH SUN CITY PCU, ADDRESS: 17225 NORTH BOSWELL BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85373, PHONE: (623) 933-7655, FAX: (623) 933-7607, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3820, LICENSE: HHA4414, NAME: RELIABLE NURSES, LLC, LEGALLY: RELIABLE NURSES, LLC, ADDRESS: 3855 SOUTH EVANS BOULEVARD, SUITE 402, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 889-1328, FAX: (520) 889-2355, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3825, LICENSE: OTC4625, NAME: FRESENIUS MEDICAL CARE SOUTH TUCSON, LEGALLY: FRESENIUS MEDICAL CARE SOUTH TUCSON, ADDRESS: 2802 SOUTH 6TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 792-2999, FAX: (520) 792-3999, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3826, LICENSE: OTC4581, NAME: FRESENIUS MEDICAL CARE-MIDVALE PARK, LEGALLY: FRESENIUS MEDICAL CARE-MIDVALE PARK, ADDRESS: 1430 WEST VALENCIA ROAD, SUITE 1, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 889-4555, FAX: (520) 807-3333, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3814, LICENSE: OTC5189, NAME: CENTER FOR PAIN RELIEF, THE, LEGALLY: CENTER FOR PAIN RELIEF, THE, ADDRESS: 668 NORTH 44TH STREET, SUITE 101W, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3813, LICENSE: OTC4816, NAME: ARIZONA MOLECULAR IMAGING CENTER, LEGALLY: ARIZONA MOLECULAR IMAGING CENTER, ADDRESS: 4540 EAST COTTON GIN LOOP, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (818) 879-9600, FAX: (818) 879-9607, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3830, LICENSE: , NAME: TMC PAIN MANAGEMENT, LEGALLY: TMC PAIN MANAGEMENT, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-2080, FAX: (520) 324-1458, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3833, LICENSE: H0047, NAME: TEMPE ST LUKE'S HOSPITAL, A CAMPUS OF ST LUKE'S ME, LEGALLY: TEMPE ST LUKE'S HOSPITAL, A CAMPUS OF ST LUKE'S MEDICAL CENTER, ADDRESS: 1500 SOUTH MILL AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 968-9411, FAX: (480) 784-5539, CAPACITY: 87, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3835, LICENSE: OTC4714, NAME: NORTH MOUNTAIN MEDICAL OFFICE, LEGALLY: NORTH MOUNTAIN MEDICAL OFFICE, ADDRESS: 9225 N 3RD STREET SUITE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 943-7115, FAX: (602) 943-7113, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3838, LICENSE: OTC4805, NAME: MARYVALE DIALYSIS CENTER, LEGALLY: MARYVALE DIALYSIS CENTER, ADDRESS: 4845 WEST MC DOWELL ROAD, SUITE 10, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 278-8349, FAX: (602) 272-2674, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3864, LICENSE: HHA5646, NAME: PRINCE OF PEACE HOME HEALTH, LLC, LEGALLY: PRINCE OF PEACE HOME HEALTH, LLC, ADDRESS: 10640 NORTH 28TH DRIVE, SUITE A-101, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 441-3501, FAX: (602) 865-4970, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3840, LICENSE: OSC4604, NAME: DOCTORS' OUTPATIENT SURGICAL CENTER LLC, LEGALLY: DOCTORS OUTPATIENT SURGICAL CENTER LLC, ADDRESS: 2155 EAST CONFERENCE DRIVE SUITE 111, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 839-2020, FAX: (480) 839-2121, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3843, LICENSE: OTC4439, NAME: UCR HEALTH CENTERS-PRESCOTT, LEGALLY: UCR HEALTH CENTERS-PRESCOTT, ADDRESS: 2062 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 443-5103, FAX: (928) 443-5104, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3855, LICENSE: OTC4493, NAME: TAKE CARE HEALTH AZ-STORE #4102 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4102, ADDRESS: 6767 EAST BROADWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3846, LICENSE: OTC4424, NAME: CIGNA SCOTTSDALE NORTE HEALTH CARE CENTER, LEGALLY: CIGNA SCOTTSDALE NORTE HEALTH CARE CENTER, ADDRESS: 10900 NORTH SCOTTSDALE ROAD, SUITE #606, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3847, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER-BULLHEAD CITY, LEGALLY: SOUTHWESTERN EYE SURGICENTER-BULLHEAD CITY, ADDRESS: 3007 HIGHWAY 95, SUITE 63-B, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 753-5454, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3856, LICENSE: OTC4427, NAME: DIGNITY HEALTH CHILDREN'S DENTAL CLINIC-SAN MARCOS, LEGALLY: DIGNITY HEALTH CHILDREN'S DENTAL CLINIC-SAN MARCOS CAMPUS, ADDRESS: 451 WEST FRYE ROAD, SUITE A-4, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 728-3000, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3858, LICENSE: HHA4536, NAME: PRESTIGE HOME HEALTH CARE, LEGALLY: PRESTIGE HOME HEALTHCARE, LLC, ADDRESS: 3120 NORTH 19TH AVENUE, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 279-8471, FAX: (602) 279-0296, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3862, LICENSE: OTC4507, NAME: CLEO ROBERTS CENTER, LEGALLY: CLEO ROBERTS CENTER, ADDRESS: 10515 WEST SANTA FE DRIVE, BUILDING B, 1ST FLOOR, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-6530, FAX: (623) 875-6504, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2640, LICENSE: H3446, NAME: WEST VALLEY HOSPITAL, LEGALLY: WEST VALLEY HOSPITAL, ADDRESS: 13677 WEST MCDOWELL ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 882-1500, FAX: (623) 882-1510, CAPACITY: 164, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3780, LICENSE: OTC4515, NAME: CORAM ALTERNATE SITE SERVICES, LEGALLY: CORAM ALTERNATE SITE SERVICES, ADDRESS: 4310 COTTON CENTER BOULEVARD, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 438-7888, FAX: (602) 438-4559, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3867, LICENSE: OSC4518, NAME: LASER SPINE SURGERY CENTER, LEGALLY: LASER SPINE SURGERY CENTER, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (888) 771-6370, FAX: (888) 771-6380, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3893, LICENSE: HHA4596, NAME: HOME CARE ASSOCIATES, INC, LEGALLY: HOME CARE ASSOCIATES, INC, ADDRESS: 1111 NORTH GILBERT, SUITE #210A, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 545-6255, FAX: (480) 545-6257, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3876, LICENSE: HSPC4488, NAME: VERDE VALLEY COMMUNITY HOSPICE, LEGALLY: FLAGSTAFF COMMUNITY HOSPICE, ADDRESS: 859 COVE PARKWAY, SUITE 103, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-1073, FAX: (928) 634-1401, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3891, LICENSE: HHA4561, NAME: SANTE HOME HEALTH AND REHABILITATION SERVICES, LEGALLY: SANTE HOME HEALTH AND REHABILITATION SERVICES, ADDRESS: 10575 NORTH 114TH STREET, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85259, PHONE: (480) 264-4568, FAX: (480) 264-4566, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3150, LICENSE: H3907, NAME: GILBERT HOSPITAL, LEGALLY: GILBERT HOSPITAL, ADDRESS: 5656 SOUTH POWER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 279-5835, FAX: (480) 279-5836, CAPACITY: 19, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED3734, LICENSE: SH4435, NAME: WINDHAVEN PSYCHIATRIC HOSPITAL, LEGALLY: WINDHAVEN PSYCHIATRIC HOSPITAL, ADDRESS: 3347 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 445-5211, FAX: (928) 445-9522, CAPACITY: 16, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3669, LICENSE: OTC4458, NAME: ARIZONA BREAST SURGERY SPECIALISTS, LEGALLY: ARIZONA BREAST SURGERY SPECIALISTS, ADDRESS: 9159 WEST THUNDERBIRD ROAD, SUITE F, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 815-3380, FAX: (623) 815-3381, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3857, LICENSE: HSPC5321, NAME: TUCSON COMMUNITY HOSPICE, LEGALLY: TUCSON COMMUNITY HOSPICE, ADDRESS: 5055 EAST BROADWAY BOULEVARD, SUITE D-205, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (602) 507-6718, FAX: (623) 507-6725, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3870, LICENSE: OTC4502, NAME: CORAM SPECIALTY INFUSION SERVICES, AN APRIA HC CO, LEGALLY: CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY, ADDRESS: 6375 EAST TANQUE VERDE ROAD, SUITE 50, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 290-2112, FAX: (520) 290-2123, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3872, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER, INC OUTPATIEN, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER, INC OUTPATIENT IMAGING, ADDRESS: 151 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3000, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3873, LICENSE: OTC5264, NAME: TUCSON CENTRAL DIALYSIS, LEGALLY: TUCSON CENTRAL DIALYSIS, ADDRESS: 2901 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 325-3408, FAX: (520) 325-3469, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3881, LICENSE: OTC5382, NAME: HEART AND VASCULAR CENTER OF NORTHERN ARIZONA- COT, LEGALLY: HEART AND VASCULAR CENTER OF NORTHERN ARIZONA- COTTONWOOD, ADDRESS: 294 WEST STATE ROUTE 89A, SUITE 107, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6057, FAX: (928) 634-3130, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3879, LICENSE: OTC4487, NAME: GOLD CANYON URGENT CARE, LEGALLY: GOLD CANYON URGENT CARE, ADDRESS: 6820 SOUTH KINGS RANCH ROAD SUITE #130, CITY: GOLD CANYON, STATE: AZ, ZIP: 85218, PHONE: (480) 982-3691, FAX: (480) 982-3692, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3883, LICENSE: , NAME: NORTHWEST MEDICAL CENTER- LA PALOMA URGENT CARE, LEGALLY: NORTHWEST MEDICAL CENTER- LA PALOMA URGENT CARE, ADDRESS: 4001 EAST SUNRISE DRIVE, SUITE 121, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 209-7000, FAX: (520) 209-7070, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3751, LICENSE: OTC4453, NAME: TAKE CARE HEALTH AZ-STORE #4507 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4507, ADDRESS: 15025 NORTH THOMPSON PEAK PKWY, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3869, LICENSE: OTC4452, NAME: FASTMED URGENT CARE-FLORENCE, LEGALLY: FASTMED URGENT CARE- FLORENCE, ADDRESS: 495 PINAL PARKWAY, SUITE 106, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (480) 855-9400, FAX: (480) 782-1598, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3767, LICENSE: OTC4466, NAME: TAKE CARE HEALTH AZ-STORE #6421 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6421, ADDRESS: 1055 EAST RIGGS ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85249, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3832, LICENSE: OTC4460, NAME: EZ SLEEP LAB-PRESCOTT VALLEY, LEGALLY: EZ SLEEP LAB-PRESCOTT VALLEY, ADDRESS: 7900 EAST FLORENTINE ROAD, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (623) 934-5600, FAX: (623) 934-5603, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3892, LICENSE: HHA4555, NAME: HUALAPAI HOME HEALTH CARE, INC, LEGALLY: HUALAPAI HOME HEALTH CARE, INC, ADDRESS: 2535 HUALAPAI MOUNTAIN ROAD, SUITE B, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-9015, FAX: (928) 753-8946, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3749, LICENSE: OTC4464, NAME: TAKE CARE HEALTH AZ-STORE #3912 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #3912, ADDRESS: 29660 NORTH TATUM BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3758, LICENSE: OTC4463, NAME: TAKE CARE HEALTH AZ-STORE #4620 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4620, ADDRESS: 15490 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3801, LICENSE: HHA5600, NAME: BEATITUDES HOME HEALTH, LEGALLY: BEATITUDES HOME HEALTH, ADDRESS: 1610 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-2611, FAX: (602) 995-4854, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3818, LICENSE: OTC5399, NAME: WILMOT FAMILY HEALTH CENTER, LEGALLY: WILMOT FAMILY HEALTH CENTER, ADDRESS: 899 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 290-1100, FAX: (520) 290-8997, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3895, LICENSE: OTC4972, NAME: HEART & VASCULAR CENTER OF NORTHERN AZ- FLAGSTAFF, LEGALLY: HEART & VASCULAR CENTER OF NORTHERN ARIZONA- FLAGSTAFF, ADDRESS: 1215 NORTH BEAVER STREET, SUITE 202, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3793, LICENSE: OSC4950, NAME: PARAMOUNT SURGERY CENTER OF MESA, LEGALLY: MESA SURGICAL CENTER, LLC, ADDRESS: 1114 SOUTH HIGLEY ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 854-7600, FAX: (480) 807-3633, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3702, LICENSE: OTC4474, NAME: INNOVATIVE SENIOR CARE AT STERLING HOUSE ON EAST S, LEGALLY: INNOVATIVE SENIOR CARE AT STERLING HOUSE ON EAST SPEEDWAY, ADDRESS: 8468 EAST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 260-0094, FAX: (520) 298-0672, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3753, LICENSE: OTC4478, NAME: TAKE CARE HEALTH AZ-STORE #4046 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4046, ADDRESS: 3960 EAST CHANDLER BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 296-0283, FAX: (480) 706-7988, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3897, LICENSE: OTC4621, NAME: FRESENIUS MEDICAL CARE KINGMAN, LEGALLY: FRESENIUS MEDICAL CARE KINGMAN, ADDRESS: 1739 EAST BEVERLY AVENUE, SUITE #208, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 681-4300, FAX: (928) 681-4305, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3894, LICENSE: OTC4667, NAME: NORTH COUNTRY HEALTHCARE GUIDANCE CENTER, LEGALLY: NORTH COUNTRY HEALTHCARE GUIDANCE CENTER, ADDRESS: 2187 NORTH VICKEY STREET, SUITE 2, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 714-5322, FAX: (928) 526-9503, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3896, LICENSE: , NAME: DIGNITY HEALTH WOMEN'S IMAGING CENTER, LEGALLY: DIGNITY HEALTH WOMEN'S IMAGING CENTER, ADDRESS: 1727 WEST FRYE ROAD, SUITE 110, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (602) 456-7800, FAX: (602) 456-7890, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3907, LICENSE: HSPC4559, NAME: HALLMARK HOSPICE, LLC, LEGALLY: HALLMARK HOSPICE, LLC, ADDRESS: 6336 EAST BROWN ROAD, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 307-8977, FAX: (480) 588-5012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3763, LICENSE: OTC4491, NAME: TAKE CARE HEALTH AZ-STORE #5266 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5266, ADDRESS: 21632 NORTH 35TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3875, LICENSE: OTC4490, NAME: NEXTCARE URGENT CARE-OLD SPANISH TRAIL, LEGALLY: NEXTCARE URGENT CARE-OLD SPANISH TRAIL, ADDRESS: 9525 EAST OLD SPANISH TRAIL, SUITE #101-1M, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3910, LICENSE: OTC4519, NAME: YUMA SLEEP ASSOCIATES LLC, LEGALLY: YUMA SLEEP ASSOCIATES, LLC, ADDRESS: 2299 SOUTH ELKS LANE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-0381, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3913, LICENSE: OTC5002, NAME: ALLIANCE URGENT CARE - GOODYEAR, LEGALLY: ALLIANCE URGENT CARE - GOODYEAR, ADDRESS: 15530 WEST ROOSEVELT, SUITE D101, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 742-2300, FAX: (480) 830-8012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3914, LICENSE: OTC5268, NAME: NORTHWEST ALLIED PHYSICIANS AT LA PALOMA, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT LA PALOMA, ADDRESS: 4001 EAST SUNRISE DRIVE, SUITE 161, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 232-5280, FAX: (520) 232-5299, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3920, LICENSE: OTC4590, NAME: FORUM AT TUCSON, THE, LEGALLY: FORUM AT TUCSON, THE, ADDRESS: 2500 NORTH ROSEMONT BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-4800, FAX: (520) 319-4305, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3924, LICENSE: OSC4560, NAME: LASER SURGERY CENTER AT DREAMY DRAW, LEGALLY: LASER SURGERY CENTER AT DREAMY DRAW, ADDRESS: 10255 NORTH 32ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 258-7003, FAX: (602) 254-3474, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3929, LICENSE: , NAME: ST JOSEPHS HOSPITAL OUTPATIENT REFERENCE LAB, LEGALLY: ST JOSEPH'S HOSPITAL OUTPATIENT REFERENCE LAB, ADDRESS: 500 WEST THOMAS ROAD, SUITE 370, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3410, FAX: (602) 406-7178, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3933, LICENSE: , NAME: ST JOSEPH'S HOSPITAL NEUROPSYCHOLOGY CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL NEUROPSYCHOLOGY CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 315, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3671, FAX: (602) 406-6115, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3937, LICENSE: , NAME: CHILDRENS REHABILITATION SERVICES, LEGALLY: CHILDREN'S REHABILITATION SERVICES, ADDRESS: 124 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6400, FAX: (602) 406-7166, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3939, LICENSE: , NAME: ST JOSEPH'S HOSPITAL CANCER CENTER, LEGALLY: ST JOSEPH'S HOSPITAL CANCER CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 650 & SUITE 620, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3061, FAX: (602) 406-3986, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3942, LICENSE: , NAME: ST JOSEPH'S HOSPITAL MATERNITY OUTREACH MOBILE, LEGALLY: ST JOSEPH'S HOSPITAL MATERNITY OUTREACH MOBILE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 800, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4006, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3943, LICENSE: , NAME: INTERNAL MEDICINE HEALTH CENTER, LEGALLY: INTERNAL MEDICINE HEALTH CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 900, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3540, FAX: (602) 406-7186, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3842, LICENSE: HHA4513, NAME: ARROWHEAD HOME HEALTH, INC, LEGALLY: ARROWHEAD HOME HEALTH, INC, ADDRESS: 17035 NORTH 67TH AVENUE, SUITE 4, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 236-3949, FAX: (623) 236-8912, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3923, LICENSE: OTC4650, NAME: STATCLINIX-FOUNTAIN HILLS, LEGALLY: STATCLINIX URGENT CARE-FOUNTAIN HILLS, ADDRESS: 17225 EAST SHEA BOULEVARD, SUITE 105, CITY: FOUNTAIN HILLS, STATE: AZ, ZIP: 85268, PHONE: (480) 295-3700, FAX: (480) 295-3701, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3931, LICENSE: , NAME: ST JOSEPH'S MOVEMENT DISORDERS CLINIC, LEGALLY: ST. JOSEPH'S MOVEMENT DISORDERS CLINIC, ADDRESS: 240 WEST THOMAS ROAD, SUITE 301, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6262, FAX: (602) 406-6131, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3938, LICENSE: , NAME: CENTER FOR TRANSITIONAL NEUROREHAB, LEGALLY: CENTER FOR TRANSITIONAL NEUROREHAB, ADDRESS: 222 WEST THOMAS ROAD, SUITE 401, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3473, FAX: (602) 406-4406, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3940, LICENSE: , NAME: WOMEN'S CARE CENTER, LEGALLY: WOMEN'S CARE CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 800, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3715, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3946, LICENSE: , NAME: ST JOSEPH'S HOSPITAL OUTPATIENT REHABILITATION, LEGALLY: ST JOSEPH'S HOSPITAL OUTPATIENT REHABILITATION, ADDRESS: 114 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3230, FAX: (602) 406-4105, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3947, LICENSE: , NAME: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 850, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-2663, FAX: (602) 406-6368, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3948, LICENSE: , NAME: ST JOSEPH'S HOSPITAL PEDIATRIC GI CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL PEDIATRIC GI CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 311, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-2344, FAX: (602) 406-2315, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3949, LICENSE: , NAME: ST JOSEPH'S HOSPITAL DEPT OF MATERNAL FETAL MEDICI, LEGALLY: ST JOSEPH'S HOSPITAL DEPARTMENT OF MATERNAL FETAL MEDICINE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 700, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3510, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3950, LICENSE: OTC4614, NAME: BROOKWOOD DIALYSIS CENTER, LEGALLY: BROOKWOOD DIALYSIS CENTER, ADDRESS: 8910 NORTH 43RD AVENUE, SUITE 107, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 937-2735, FAX: (623) 937-2758, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3952, LICENSE: , NAME: HEART AND LUNG INSTITUTE, LEGALLY: HEART AND LUNG INSTITUTE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 500, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4000, FAX: (602) 406-6498, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3953, LICENSE: SH5437, NAME: RESTORA HOSPITAL OF MESA, LEGALLY: RESTORA HOSPITAL OF MESA, ADDRESS: 215 SOUTH POWER ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 985-6992, FAX: (480) 981-8390, CAPACITY: 120, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3954, LICENSE: SH4387, NAME: RESTORA HOSPITAL OF SUN CITY, LEGALLY: RESTORA HOSPITAL OF SUN CITY, ADDRESS: 13818 NORTH THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-1325, FAX: (623) 974-3984, CAPACITY: 120, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED2205, LICENSE: SH4511, NAME: HAVEN SENIOR HORIZONS, LEGALLY: HAVEN SENIOR HORIZONS, ADDRESS: 1201 SOUTH 7TH AVENUE, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (623) 236-2000, FAX: (602) 252-0032, CAPACITY: 30, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3779, LICENSE: HSPC4514, NAME: GRACE HOSPICE, LEGALLY: GRACE HOSPICE OF ARIZONA, INC., ADDRESS: 2141 EAST BROADWAY ROAD, SUITE 118, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 775-2599, FAX: (480) 775-3714, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3854, LICENSE: OTC4512, NAME: GOOD NIGHT PEDIATRICS-NORTHWEST VALLEY, LEGALLY: GOOD NIGHT PEDIATRICS-NORTHWEST VALLEY, ADDRESS: 8801 WEST UNION HILLS DRIVE, BUILDING A, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3791, LICENSE: OTC5297, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 14418 WEST MEEKER BOULEVARD, SUITE 105, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 583-5240, FAX: (623) 583-5235, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3868, LICENSE: OTC4994, NAME: LASER SPINE INSTITUTE, LEGALLY: LASER SPINE INSTITUTE, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE 165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (813) 289-9613, FAX: (813) 418-4144, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3599, LICENSE: OTC4533, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-SUN CITY, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY, ADDRESS: 13184 NORTH 103RD DRIVE, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3600, LICENSE: OTC4531, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-PHOENIX, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY,, ADDRESS: 334 EAST HATCHER ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3601, LICENSE: OTC4532, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-SUN CITY WEST, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY, ADDRESS: 14506 MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3944, LICENSE: OTC4993, NAME: LASER SPINE INSTITUTE MRI, LEGALLY: LASER SPINE INSTITUTE MRI, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE 165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (813) 289-9613, FAX: (813) 418-4144, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3970, LICENSE: OTC5206, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 402, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-6374, FAX: (480) 412-5550, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3977, LICENSE: OTC5214, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 403, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-7473, FAX: (480) 412-7500, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3967, LICENSE: OTC5205, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 107, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-4100, FAX: (480) 412-5154, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3930, LICENSE: OTC4545, NAME: ASU HEALTH SERVICES-SOUTH, LEGALLY: ASU HEALTH SERVICES-SOUTH, ADDRESS: 1480 SOUTH RURAL ROAD, BLDG #139-ROOMS A21, A22, CITY: TEMPE, STATE: AZ, ZIP: 85287, PHONE: (480) 965-1145, FAX: (480) 965-2269, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3976, LICENSE: OTC5204, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 4614 EAST SHEA BOULEVARD, SUITE #D110, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 404-3700, FAX: (602) 404-3703, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3975, LICENSE: OTC5200, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 5757 WEST THUNDERBIRD ROAD, SUITE #W-406, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-4065, FAX: (480) 292-9769, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3971, LICENSE: OTC5201, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 9755 NORTH 90TH STREET, SUITE C-200, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 391-8989, FAX: (480) 292-9769, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3973, LICENSE: OTC5213, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 301, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-7120, FAX: (480) 412-5611, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3969, LICENSE: OTC5212, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 304, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-7400, FAX: (480) 512-7500, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3955, LICENSE: OTC4573, NAME: RADIOLOGY LTD-CARONDELET, LEGALLY: RADIOLOGY LTD-CARONDELET, ADDRESS: 6567 EAST CARONDELET DRIVE, SUITE 105, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 751-3096, FAX: (520) 901-6630, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3956, LICENSE: OTC4668, NAME: LAS FUENTES REHABILITATION CENTER, LEGALLY: LAS FUENTES REHABILITATION CENTER, ADDRESS: 1045 SCOTT DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-9603, FAX: (928) 778-5909, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3979, LICENSE: OTC4572, NAME: NEXTCARE URGENT CARE-MCKELLIPS, LEGALLY: NEXTCARE URGENT CARE-MCKELLIPS, ADDRESS: 4401 EAST MCKELLIPS ROAD, SUITE #102, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3981, LICENSE: OTC5296, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 20325 NORTH 51ST AVENUE, BUILDING 9, SUITE 170, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 249-4928, FAX: (623) 249-4971, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3982, LICENSE: OTC4996, NAME: SCOTTSDALE HEALTHCARE CORPORATE HEALTH- GLENDALE, LEGALLY: SCOTTSDALE HEALTHCARE CORPORATE HEALTH-GLENDALE, ADDRESS: 11550 WEST GLENDALE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85307, PHONE: (623) 772-7711, FAX: (623) 772-7178, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3984, LICENSE: OTC4597, NAME: DERMAHEALTH INSTITUTE OF AHWATUKEE LLC, LEGALLY: DERMAHEALTH INSTITUTE OF AHWATUKEE LLC, ADDRESS: 1345 EAST CHANDLER BOULEVARD, SUITE #105, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 460-1505, FAX: (480) 460-1506, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3988, LICENSE: , NAME: JOHN C LINCOLN NORTH MTN OUTPATIENT SURGERY CTR, LEGALLY: JOHN C. LINCOLN NORTH MOUNTAIN OUTPATIENT SURGERY CENTER, ADDRESS: 9250 NORTH 3RD STREET SUITE 1001, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 732-2900, FAX: (602) 997-9325, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED3991, LICENSE: NONE, NAME: SIMPLY MOBILE XRAY, LEGALLY: SIMPLY MOBILE XRAY, ADDRESS: 1334 SOUTH AVENUE B, SUITE 45, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 261-6379, FAX: (877) 864-0899, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3966, LICENSE: OTC4546, NAME: ABRAZO MEDICAL GROUP, LEGALLY: ABRAZO MEDICAL GROUP, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 505 & 506, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 841-0741, FAX: (602) 674-6773, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3993, LICENSE: OTC4665, NAME: NEXTCARE URGENT CARE - CALLE SANTA CRUZ, LEGALLY: NEXTCARE URGENT CARE - CALLE SANTA CRUZ, ADDRESS: 5369 SOUTH CALLE SANTA CRUZ, SUITE 145, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3994, LICENSE: OTC4592, NAME: NEXTCARE URGENT CARE - NORTHERN, LEGALLY: NEXTCARE URGENT CARE - NORTHERN, ADDRESS: 9494 WEST NORTHERN AVENUE, SUITE #101, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3995, LICENSE: OTC4582, NAME: CIGNA SAN TAN MEDICAL OFFICE, LEGALLY: CIGNA SAN TAN MEDICAL OFFICE, ADDRESS: 3530 VAL VISTA DRIVE, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (623) 277-1131, FAX: (602) 371-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3996, LICENSE: OTC4649, NAME: ELITE URGENT CARE, LEGALLY: ELITE URGENT CARE, ADDRESS: 652 EAST WARNER ROAD SUITE 107, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 892-5555, FAX: (480) 545-3188, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3997, LICENSE: OTC4664, NAME: NEXTCARE URGENT CARE - ORACLE, LEGALLY: NEXTCARE URGENT CARE - ORACLE, ADDRESS: 4280 NORTH ORACLE ROAD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3998, LICENSE: OTC5195, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 2474 EAST HUNT HIGHWAY, SUITE 10, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85143, PHONE: (480) 543-6680, FAX: (480) 543-5908, CAPACITY: 0, COUNTY: PINAL TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED3999, LICENSE: OTC4963, NAME: ASSURED IMAGING WOMENS WELLNESS OF SOUTHERN AZ, LEGALLY: ASSURED IMAGING WOMENS WELLNESS OF SOUTHERN AZ, LLC, ADDRESS: 8710 NORTH THORNYDALE, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85742, PHONE: (520) 744-6121, FAX: (520) 572-7138, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3877, LICENSE: OTC4548, NAME: RAVEN DIALYSIS CENTER, LEGALLY: RAVEN DIALYSIS CENTER, ADDRESS: 3540 EAST BASELINE ROAD, SUITE #110, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 431-2110, FAX: (602) 431-2153, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4001, LICENSE: HSPC4682, NAME: POLIDORI HOUSE(INPATIENT 031543), LEGALLY: POLIDORI HOUSE, ADDRESS: 1970 BAHAMA AVENUE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86405, PHONE: (928) 854-6232, FAX: (928) 854-6233, CAPACITY: 6, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0230, LICENSE: H0167, NAME: JOHN C LINCOLN DEER VALLEY HOSPITAL, LEGALLY: JOHN C LINCOLN DEER VALLEY HOSPITAL, ADDRESS: 19829 NORTH 27TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 879-5574, FAX: (623) 879-5400, CAPACITY: 204, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4004, LICENSE: HHA4606, NAME: BRIGHTSTAR HEALTHCARE TEMPE, LEGALLY: BRIGHTSTAR HEALTHCARE TEMPE, ADDRESS: 6200 SOUTH MCCLINTOCK DRIVE, SUITE #106, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 897-1166, FAX: (480) 897-1188, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4005, LICENSE: , NAME: JOHN C LINCOLN BREAST HEALTH AND RESEARCH CENTER, LEGALLY: JOHN C LINCOLN BREAST HEALTH AND RESEARCH CENTER, ADDRESS: 19646 NORTH 27TH AVENUE, SUITE #205, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 870-6370, FAX: (602) 944-9610, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4006, LICENSE: , NAME: CARONDELET NEUROLOGICAL INSTITUTE STEREOTACTIC, LEGALLY: CARONDELET NEUROLOGICAL INSTITUTE STEREOTACTIC RADIOSURGERY, ADDRESS: 6567 EAST CARONDELET, SUITE 185, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-3000, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4007, LICENSE: OTC5599, NAME: ASU HEALTH SERVICES - POLYTECHNIC, LEGALLY: ASU HEALTH SERVICES - POLYTECHNIC, ADDRESS: 7332 EAST SUNDEVIL MALL, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 727-1500, FAX: (480) 727-1599, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4010, LICENSE: OTC4587, NAME: NORTH COUNTRY HEALTHCARE - LAKE HAVASU, LEGALLY: NORTH COUNTRY HEALTHCARE - LAKE HAVASU, ADDRESS: 2090 NORTH SMOKE TREE AVENUE, CITY: HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 854-1800, FAX: (928) 854-1847, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4011, LICENSE: OTC4651, NAME: MIDWESTERN UNIVERSITY MULTISPECIALTY CLINIC, LEGALLY: MIDWESTERN UNIVERSITY MULTISPECIALTY CLINIC, ADDRESS: 19389 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 537-6000, FAX: (623) 537-6014, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4013, LICENSE: OTC4633, NAME: ARISTA MEDICAL IMAGING, LEGALLY: ARISTA MEDICAL IMAGING, ADDRESS: 1345 EAST MCKELLIPS ROAD, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 644-9878, FAX: (480) 644-9879, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4012, LICENSE: OTC5355, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1459 SOUTH HIGLEY ROAD, SUITE 106, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 543-6780, FAX: (480) 543-5925, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4017, LICENSE: OTC4892, NAME: PATEL MEDICAL CLINIC, PLLC, LEGALLY: PATEL MEDICAL CLINIC, PLLC, ADDRESS: 1620 EAST WILCOX DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-0362, FAX: (520) 458-1585, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0002, LICENSE: HSPC4766, NAME: CARONDELET HOSPICE AND PALLIATIVE CARE, LEGALLY: CARONDELET HOSPICE AND PALLIATIVE CARE, ADDRESS: 1802 W ST MARY'S ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 205-7700, FAX: (520) 205-7598, CAPACITY: 11, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0245, LICENSE: H0010, NAME: KINGMAN REGIONAL MEDICAL CENTER, LEGALLY: KINGMAN REGIONAL MEDICAL CENTER, ADDRESS: 3269 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 757-2101, FAX: (928) 757-0604, CAPACITY: 235, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED4019, LICENSE: SH4758, NAME: COMMUNITY COUNSELING CTRS INC AT PINEVIEW HOSPITAL, LEGALLY: COMMUNITY COUNSELING CENTERS INC AT PINEVIEW HOSPITAL, ADDRESS: 1920 WEST COMMERCE DRIVE, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-4110, FAX: (928) 524-3068, CAPACITY: 16, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0217, LICENSE: H4434, NAME: BANNER DEL E WEBB MEDICAL CENTER, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER, ADDRESS: 14502 WEST MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4000, FAX: (623) 214-4105, CAPACITY: 404, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4024, LICENSE: OTC4696, NAME: SIMONMED IMAGING - MOUNTAIN VIEW, LEGALLY: SIMONMED IMAGING- MOUNTAIN VIEW, ADDRESS: 9201 EAST MOUNTAIN VIEW ROAD, SUITE 137, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4023, LICENSE: OTC4654, NAME: URGENT CARE OF ARIZONA, LLC, LEGALLY: URGENT CARE OF ARIZONA, LLC, ADDRESS: 2315 WEST BETHANY HOME ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-2848, FAX: (602) 249-6038, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4028, LICENSE: , NAME: JOHN C LINCOLN OUTPATIENT MEDICAL IMAGING, LEGALLY: JOHN C LINCOLN OUTPATIENT MEDICAL IMAGING, ADDRESS: 9250 NORTH THIRD STREET, SUITE #1002, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 870-6370, FAX: (602) 944-9610, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED4032, LICENSE: OTC4770, NAME: RITA RANCH DIALYSIS CENTER, LEGALLY: RITA RANCH DIALYSIS LLC, ADDRESS: 7355 SOUTH HOUGHTON ROAD, SUITE #101, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 663-4035, FAX: (520) 574-3826, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4034, LICENSE: OTC4634, NAME: MARC T ATKINSON SCHOOL-BASED HEALTH CENTER, LEGALLY: MARC T ATKINSON SCHOOL-BASED HEALTH CENTER, ADDRESS: 4315 NORTH MARYVALE PARKWAY, CITY: PHOENIX, STATE: AZ, ZIP: 85033, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4036, LICENSE: OTC5179, NAME: THOMPSON PEAK GASTROENTEROLOGY AND HEPATOLOGY, LEGALLY: THOMPSON PEAK GASTROENTEROLOGY AND HEPATOLOGY, ADDRESS: 20401 NORTH 73RD STREET, SUITE 210, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 946-3711, FAX: (480) 946-3711, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4042, LICENSE: OTC4657, NAME: LITTLE CLINIC BUCKEYE, THE, LEGALLY: LITTLE CLINIC BUCKEYE, THE, ADDRESS: 1300 SOUTH WATSON, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (623) 241-5322, FAX: (623) 241-5323, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4041, LICENSE: OTC4636, NAME: SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY, LEGALLY: SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY, ADDRESS: 10250 NORTH 92 STREET, SUITE 210, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 424-7228, FAX: (480) 424-7317, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4040, LICENSE: OTC4641, NAME: SCOTTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY, LEGALLY: SCOTSDALE HEALTHCARE GASTROENTEROLOGY & ENDOSCOPY, ADDRESS: 3501 NORTH SCOTTSDALE ROAD, SUITE 320, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 424-7228, FAX: (480) 424-7317, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3908, LICENSE: HHA4588, NAME: ALPHA HEALTHCARE, LLC, LEGALLY: ALPHA HEALTHCARE, LLC, ADDRESS: 16042 NORTH 32ND STREET, SUITE B2, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 374-6944, FAX: (602) 374-5722, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED1840, LICENSE: SH4089, NAME: SONORA BEHAVIORAL HEALTH HOSPITAL, LEGALLY: SONORA BEHAVIORAL HEALTH HOSPITAL, ADDRESS: 6050 NORTH CORONA ROAD, SUITE 3, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 469-8700, FAX: (520) 878-2320, CAPACITY: 56, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4021, LICENSE: OTC4723, NAME: EAST SIDE HEALTH CENTER, LEGALLY: EAST SIDE HEALTH CENTER, ADDRESS: 8181 EAST IRVINGTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85709, PHONE: (520) 574-1551, FAX: (520) 574-0783, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4050, LICENSE: , NAME: JOHN C LINCOLN DEER VALLEY OUTPATIENT SURGERY CTR, LEGALLY: JOHN C LINCOLN DEER VALLEY OUTPATIENT SURGERY CTR, ADDRESS: 19646 NORTH 27TH AVENUE SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 879-6100, FAX: (623) 879-5400, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4053, LICENSE: , NAME: JOHN C LINCOLN DEER VALLEY OUTPATIENT ENDOSCOPY CT, LEGALLY: JOHN C LINCOLN DEER VALLEY OUTPATIENT ENDOSCOPY CENTER, ADDRESS: 19646 NORTH 27TH AVENUE SUITE 204, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 879-6100, FAX: (623) 879-5400, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4027, LICENSE: HHA5095, NAME: SANCTUARY HOME HEALTH, LEGALLY: ABC HOME HEALTH CARE, LLC, ADDRESS: 20100 NORTH 51ST AVENUE, SUITE 570, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 443-1110, FAX: (480) 446-0467, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4054, LICENSE: OTC4831, NAME: SONOITA FAMILY HEALTH, LEGALLY: SONOITA FAMILY HEALTH, ADDRESS: 3250 HIGHWAY 82, CITY: SONOITA, STATE: AZ, ZIP: 85637, PHONE: (520) 455-5294, FAX: (520) 455-5543, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4055, LICENSE: OTC4739, NAME: TOMBSTONE FAMILY HEALTH, LEGALLY: TOMBSTONE FAMILY HEALTH, ADDRESS: 7 NORTH SAN DIEGO STREET, CITY: TOMBSTONE, STATE: AZ, ZIP: 85638, PHONE: (520) 457-2374, FAX: (520) 457-3640, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4056, LICENSE: , NAME: JOHN C LINCOLN CENTER FOR RECONSTRUCTIVE AND P/S, LEGALLY: JOHN C LINCOLN CENTER FOR RECONSTRUCTIVE AND PLASTIC SURGERY, ADDRESS: 9250 NORTH 3RD STREET, SUITE #1003, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 331-7800, FAX: (602) 944-9610, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4047, LICENSE: HHA4602, NAME: ASSURANCE HOME CARE, INC, LEGALLY: ASSURANCE HOME CARE, INC, ADDRESS: 2312 NORTH ROSEMONT, SUITE 103, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-9989, FAX: (520) 325-9938, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4026, LICENSE: HHA4603, NAME: BRIGHTSTAR HEALTHCARE - TUCSON, LEGALLY: BRIGHTSTAR HEALTHCARE - TUCSON, ADDRESS: 437 WEST THURBER ROAD, SUITE 7, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 901-6587, FAX: (520) 901-6589, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4057, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CTR-OUTPT REHAB CENTER, LEGALLY: BANNER DEL E WEBB MEDICAL CTR-OUTPT REHAB CENTER, ADDRESS: 14418 WEST MEEKER BOULEVARD, SUITE 301, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4038, FAX: (623) 815-6674, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1791, LICENSE: HSPC2206, NAME: CASA DE LA LUZ HOSPICE, LEGALLY: CASA DE LA LUZ HOSPICE, ADDRESS: 7740 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 544-9890, FAX: (520) 544-9894, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2137, LICENSE: HSPC3060, NAME: HOSPICE OF ARIZONA INPATIENT-FREEDOM PLAZA(031525), LEGALLY: HOSPICE OF ARIZONA INPATIENT UNIT-FREEDOM PLAZA CARE CENTER, ADDRESS: 13714 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 815-6152, FAX: (602) 242-2178, CAPACITY: 13, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2353, LICENSE: HSPC3314, NAME: BANNER GARDENS HOSPICE HOUSE (031520), LEGALLY: BANNER GARDENS HOSPICE HOUSE INPATIENT, ADDRESS: 7231 EAST BROADWAY ROAD, CITY: MESA, STATE: AZ, ZIP: 85208, PHONE: (480) 654-6880, FAX: (480) 497-8250, CAPACITY: 20, COUNTY: MARICOPA TYPE: MED-RECOVERY CARE CENTER, SUBTYPE: RECOVERY CARE CENTER, ID: MED2550, LICENSE: RCC3350, NAME: PARADISE VALLEY RECOVERY CARE CENTER, LEGALLY: PARADISE VALLEY RECOVERY CARE CENTER, ADDRESS: 5410 NORTH SCOTTSDALE ROAD, SUITE E100, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 941-4470, FAX: (480) 994-7325, CAPACITY: 6, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2766, LICENSE: HSPC3560, NAME: CASA DE LA LUZ HOSPICE INPATIENT UNIT (031547), LEGALLY: CASA DE LA LUZ HOSPICE INPATIENT UNIT, ADDRESS: 5830 NORTH FOUNTAINS AVENUE, BUILDING 2, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 544-9890, FAX: (520) 544-9894, CAPACITY: 10, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2916, LICENSE: HSPC4078, NAME: HOSPICE OF ARIZONA IPU- PLAZA DEL RIO (031525), LEGALLY: HOSPICE OF ARIZONA IPU-PLAZA DEL RIO, ADDRESS: 12740 NORTH PLAZA DEL RIO BOULEVARD, SUITE B, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 815-2800, FAX: (623) 997-2868, CAPACITY: 12, COUNTY: MARICOPA TYPE: MED-RECOVERY CARE CENTER, SUBTYPE: RECOVERY CARE CENTER, ID: MED2949, LICENSE: RCC3694, NAME: ST JOSEPH'S RECOVERY CARE CENTER, LEGALLY: ST JOSEPH'S RECOVERY CARE CENTER, ADDRESS: 240 WEST THOMAS ROAD, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3552, FAX: (602) 406-3813, CAPACITY: 6, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3016, LICENSE: HSPC3758, NAME: HOSPICE FAMILY CARE IPU AT CYPRESS CRTS-TU(031519), LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT AT CYPRESS COURTS-TUCSON, ADDRESS: 3703 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 615-0020, FAX: (520) 615-0090, CAPACITY: 10, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3495, LICENSE: HSPC4167, NAME: HOSPICE FAMILY CARE-PRESCOTT INPATIENT (031536), LEGALLY: HOSPICE FAMILY CARE-PRESCOTT INPATIENT UNIT, ADDRESS: 3195 STILLWATER DRIVE, SUITE #B, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 541-1740, FAX: (928) 541-1745, CAPACITY: 7, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED3578, LICENSE: HSPC4336, NAME: HOSPICE FAMILY CARE INPAT UNIT-GILBERT (031537), LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT-GILBERT, ADDRESS: 13639 EAST RAY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 782-0533, FAX: (480) 782-0560, CAPACITY: 8, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4064, LICENSE: , NAME: PHOENIX CHILDREN'S SPECIALTY & URGENT CARE NW CTR, LEGALLY: PHOENIX CHILDREN'S SPECIALTY & URGENT CARE NW CTR, ADDRESS: 20325 NORTH 51ST AVENUE SUITE 116, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 972-5437, FAX: (602) 992-9292, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4062, LICENSE: , NAME: CARONDELET ST JOSEPH'S CTR FOR ADVANCED WOUND CARE, LEGALLY: CARONDELET ST JOSEPH'S CTR FOR ADVANCED WOUND CARE, ADDRESS: 6565 EAST CARONDELET DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-5880, FAX: (520) 873-3509, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4065, LICENSE: , NAME: NORTHWEST MEDICAL CENTER PRE-PROCEDURAL SCREENING, LEGALLY: NORTHWEST MEDICAL CENTER PRE-PROCEDURAL SCREENING, ADDRESS: 6130 NORTH LA CHOLLA BOULEVARD, SUITE 121, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8668, FAX: (520) 469-8669, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4068, LICENSE: , NAME: NORTHWEST MEDICAL CENTER WOMENS DIAGNOSTIC IMAGING, LEGALLY: NORTHWEST MEDICAL CENTER WOMEN'S DIAGNOSTIC IMAGING, ADDRESS: 6060 NORTH FOUNTAIN PLAZA DRIVE, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 877-4180, FAX: (520) 498-0861, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0254, LICENSE: H0011, NAME: CARONDELET ST MARYS HOSPITAL, LEGALLY: CARONDELET ST. MARY'S HOSPITAL, ADDRESS: 1601 WEST ST MARY'S ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 872-3000, FAX: (520) 873-3921, CAPACITY: 401, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4069, LICENSE: , NAME: NORTHWEST MEDICAL CTR AMB SVCS/THE WOUND CARE CTR, LEGALLY: NORTHWEST MEDICAL CTR AMB SVCS/THE WOUND CARE CTR AT NORTHWEST, ADDRESS: 6130 NORTH LA CHOLLA BOULEVARD, SUITE 111, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8168, FAX: (520) 219-8031, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4070, LICENSE: , NAME: NORTHWEST MEDICAL CENTER CARDIAC REHAB, LEGALLY: NORTHWEST MEDICAL CENTER CARDIAC REHAB, ADDRESS: 6080 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8740, FAX: (520) 219-5805, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4073, LICENSE: OTC4638, NAME: TAKE CARE HEALTH AZ-STORE #6060 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6060, ADDRESS: 16415 EAST PALISADES BOULEVARD, CITY: FOUNTAIN HILLS, STATE: AZ, ZIP: 85268, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4074, LICENSE: OTC4686, NAME: SIMONMED IMAGING - DESERT RIDGE, LEGALLY: SIMONMED IMAGING - DESERT RIDGE, ADDRESS: 20830 NORTH TATUM BOULEVARD, SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 548-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4078, LICENSE: OTC4742, NAME: SUN VALLEY FAMILY PRACTICE, LEGALLY: SUN VALLEY FAMILY PRACTICE, ADDRESS: 12409 WEST INDIAN SCHOOL, BUILDING E, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 536-5353, FAX: (623) 536-5829, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4081, LICENSE: OTC4612, NAME: NORTH VALLEY GASTROENTEROLOGY, LEGALLY: NORTH VALLEY GASTROENTEROLOGY, ADDRESS: 19646 NORTH 27TH AVENUE, SUITE 201, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 580-5390, FAX: (623) 580-5397, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4083, LICENSE: OTC4844, NAME: VALLEY PAIN CENTERS, LLC, LEGALLY: VALLEY PAIN CENTERS, LLC, ADDRESS: 4022 EAST GREENWAY ROAD, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 795-0207, FAX: (602) 493-0761, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4085, LICENSE: OTC4622, NAME: COMMUNITY WELLNESS & SAFETY OF ARIZONA, - PHOENIX, LEGALLY: COMMUNITY WELLNESS & SAFETY OF ARIZONA, - PHOENIX, ADDRESS: 4730 EAST INDIAN SCHOOL ROAD, SUITE 124, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (480) 325-9459, FAX: (480) 396-0234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4090, LICENSE: OTC4670, NAME: URGENT CARE EXTRA-TEMPE, LEGALLY: EAST VALLEY URGENT CARE - TEMPE, ADDRESS: 6323 SOUTH RURAL ROAD, SUITE #107, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4091, LICENSE: OTC4693, NAME: ABRAZO MEDICAL GROUP GOODYEAR, LEGALLY: ABRAZO MEDICAL GROUP GOODYEAR, ADDRESS: 3030 NORTH LITCHFIELD ROAD, SUITE #120, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 882-9161, FAX: (623) 925-0745, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4092, LICENSE: OTC4660, NAME: ABRAZO MEDICAL GROUP, DENARO PLAZA, LEGALLY: ABRAZO MEDICAL GROUP, DENARO PLAZA, ADDRESS: 10180 WEST HAPPY VALLEY ROAD, BUILDING A, CITY: PEORIA, STATE: AZ, ZIP: 85383, PHONE: (623) 561-3000, FAX: (623) 561-3009, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0253, LICENSE: H0099, NAME: CARONDELET ST JOSEPH'S HOSPITAL, LEGALLY: CARONDELET ST JOSEPH'S HOSPITAL, ADDRESS: 350 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-3000, FAX: (520) 873-3921, CAPACITY: 471, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4099, LICENSE: OTC4700, NAME: SIMONMED IMAGING - SUN CITY WEST, LEGALLY: SIMONMED IMAGING - SUN CITY WEST, ADDRESS: 13624 WEST CAMINO DEL SOL, SUITE 300, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4100, LICENSE: OTC4701, NAME: SIMONMED IMAGING - THOMPSON PEAK, LEGALLY: SIMONMED IMAGING - THOMPSON PEAK, ADDRESS: 7304 EAST DEER VALLEY ROAD, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4102, LICENSE: OTC4703, NAME: SIMONMED IMAGING - THUNDERBIRD I, LEGALLY: SIMONMED IMAGING - THUNDERBIRD I, ADDRESS: 5410 WEST THUNDERBIRD ROAD, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4106, LICENSE: OTC4702, NAME: SIMONMED IMAGING - THUNDERBIRD II, LEGALLY: SIMONMED IMAGING- THUNDERBIRD II, ADDRESS: 5410 WEST THUNDERBIRD ROAD, SUITE 221, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4108, LICENSE: OTC4864, NAME: HARBOR POINTE INTERNAL MEDICINE, LEGALLY: HARBOR POINTE INTERNAL MEDICINE, ADDRESS: 5859 WEST TALAVI BOULEVARD, SUITE 165, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 548-7800, FAX: (602) 548-0006, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4109, LICENSE: OTC4690, NAME: SIMONMED IMAGING - GREENFIELD, LEGALLY: SIMONMED IMAGING- GREENFIELD, ADDRESS: 1425 SOUTH GREENFIELD ROAD, BLDG 2, SUITE 114, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4110, LICENSE: OTC4689, NAME: SIMONMED IMAGING - FIESTA, LEGALLY: SIMONMED IMAGING- FIESTA, ADDRESS: 1457 WEST SOUTHERN AVENUE, SUITE 26, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4111, LICENSE: OTC4688, NAME: SIMONMED IMAGING - DOBSON VILLAGE II, LEGALLY: SIMONMED IMAGING- DOBSON VILLAGE II, ADDRESS: 1870 WEST FRYE ROAD, SUITE 3, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4113, LICENSE: OTC4687, NAME: SIMONMED IMAGING - DOBSON VILLAGE I, LEGALLY: SIMONMED IMAGING- DOBSON VILLAGE I, ADDRESS: 235 SOUTH DOBSON ROAD, BUILDING L, UNIT 1, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4114, LICENSE: OTC4685, NAME: SIMONMED IMAGING - DEER VALLEY, LEGALLY: SIMONMED IMAGING - DEER VALLEY, ADDRESS: 20414 NORTH 27TH AVENUE, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4116, LICENSE: , NAME: MGG IMAGING, LLC, LEGALLY: MGG IMAGING, LLC, ADDRESS: 17048 SOUTH PIMA VISTA DRIVE, CITY: VAIL, STATE: AZ, ZIP: 85641, PHONE: (520) 661-7567, FAX: (520) 398-6191, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4118, LICENSE: OTC4698, NAME: SIMONMED IMAGING - SPECTRUM, LEGALLY: SIMONMED IMAGING - SPECTRUM, ADDRESS: 2680 SOUTH VAL VISTA DRIVE, BUILDING 7, SUITE 135, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4119, LICENSE: OTC5445, NAME: SIMONMED IMAGING - THUNDERBIRD III, LEGALLY: SIMONMED IMAGING - THUNDERBIRD III, ADDRESS: 5410 WEST THUNDERBIRD ROAD, SUITE 210, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 535-5210, FAX: (602) 535-5211, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4121, LICENSE: OTC4684, NAME: SIMONMED IMAGING - BAYWOOD, LEGALLY: SIMONMED IMAGING - BAYWOOD, ADDRESS: 130 SOUTH 63RD STREET, SUITE 123, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4122, LICENSE: OTC4695, NAME: SIMONMED IMAGING - MESA DRIVE, LEGALLY: SIMONMED IMAGING - MESA DRIVE, ADDRESS: 456 NORTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4123, LICENSE: OTC4683, NAME: SIMONMED IMAGING - AVONDALE, LEGALLY: SIMONMED IMAGING - AVONDALE, ADDRESS: 10815 WEST MCDOWELL ROAD, SUITE 102, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4124, LICENSE: OTC4699, NAME: SIMONMED IMAGING - SUN CITY PEORIA, LEGALLY: SIMONMED IMAGING - SUN CITY PEORIA, ADDRESS: 9403 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4127, LICENSE: OTC4655, NAME: NHW COMMUNITY HEALTH CENTER, LEGALLY: NHW COMMUNITY HEALTH CENTER, ADDRESS: 2423 WEST DUNLAP AVENUE, SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 279-5351, FAX: (602) 270-5361, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4129, LICENSE: OTC4761, NAME: TOMAR PAIN CENTERS, PLLC, LEGALLY: TOMAR PAIN CENTERS, PLLC, ADDRESS: 1821 NORTH TREKELL ROAD, SUITE A3, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 421-0986, FAX: (520) 421-2009, CAPACITY: 0, COUNTY: PINAL TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4130, LICENSE: OTC4681, NAME: EL RIO COMMUNITY HEALTH CENTER - SOUTHEAST, LEGALLY: EL RIO COMMUNITY HEALTH CENTER - SOUTHEAST, ADDRESS: 6950 EAST GOLF LINKS ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85730, PHONE: (520) 792-9890, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4095, LICENSE: OTC5530, NAME: TAKE CARE HEALTH AZ-STORE #10500, LEGALLY: TAKE CARE HEALTH AZ-STORE #10500, ADDRESS: 9050 WEST UNION HILLS DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (484) 351-3291, FAX: (610) 862-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4098, LICENSE: , NAME: QUARTZSITE IMAGING, LEGALLY: QUARTZSITE IMAGING, ADDRESS: 150 EAST TYSON ROAD, CITY: QUARTZSITE, STATE: AZ, ZIP: 85359, PHONE: (928) 927-5067, FAX: (928) 927-8748, CAPACITY: 0, COUNTY: LA PAZ TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4103, LICENSE: , NAME: HAVASU SURGERY CENTER, LEGALLY: HAVASU SURGERY CENTER, ADDRESS: 1775 MCCULLOCH BOULEVARD, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-4200, FAX: (928) 453-8271, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4131, LICENSE: HHA4659, NAME: FOCUS CARE OF ARIZONA, LLC, LEGALLY: FOCUS CARE OF ARIZONA, LLC, ADDRESS: 4350 EAST CAMELBACK ROAD, SUITE A110, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 955-2221, FAX: (602) 955-1899, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4134, LICENSE: OTC4653, NAME: NORTH COUNTRY HEALTHCARE - SHOWLOW, LEGALLY: NORTH COUNTRY HEALTHCARE - SHOWLOW, ADDRESS: 2650 EAST SHOW LOW LAKE ROAD, SUITE 1, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4300, FAX: (928) 537-4320, CAPACITY: 0, COUNTY: NAVAJO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4137, LICENSE: , NAME: ADOLESCENT MEDICINE CLINIC, LEGALLY: ADOLESCENT MEDICINE CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 301, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4772, FAX: (602) 294-5129, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4138, LICENSE: , NAME: ADVANCED GYN SURGERY AND GYNECOLOGIC ONCOLOGY CLIN, LEGALLY: ADVANCED GYN SURGERY & GYNECOLOGIC ONCOLOGY CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 680 & 600, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6017, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4139, LICENSE: , NAME: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, LEGALLY: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, ADDRESS: 1300 NORTH 12TH STREET, SUITE 404, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-7000, FAX: (602) 839-7050, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4142, LICENSE: OTC4694, NAME: LITTLE CLINIC-UNIVERSITY, THE, LEGALLY: LITTLE CLINIC-UNIVERSITY, THE, ADDRESS: 3255 SOUTH RURAL ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 304-5467, FAX: (480) 304-5468, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4146, LICENSE: HHA4679, NAME: GRACE HOME HEALTH CARE, LEGALLY: GRACE HOME HEALTH CARE, ADDRESS: 1450 WEST GUADALUPE, SUITE 121, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 497-0302, FAX: (480) 497-0305, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4089, LICENSE: OTC4715, NAME: PROFESSIONAL PORTABLE X-RAY, INC, LEGALLY: PROFESSIONAL PORTABLE X- RAY, INC, ADDRESS: 5534 WEST RIVIERA DRIVE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (612) 369-1991, FAX: (651) 686-8154, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4143, LICENSE: HHA4732, NAME: SUNLIFE HOME HEALTH, LLC, LEGALLY: SUNLIFE HOME HEALTH, LLC, ADDRESS: 627 NORTH 6TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 888-1311, FAX: (520) 577-2160, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4147, LICENSE: OTC4722, NAME: CONTINUUM ADVANCED HEALTHCARE CLINIC, LEGALLY: CONTINUUM ADVANCED HEALTHCARE CLINIC, ADDRESS: 2702 NORTH 44TH STREET, SUITE A101, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (480) 990-9095, FAX: (480) 941-1233, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4150, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CTR-OUTPATIENT RADIOLOG, LEGALLY: MT GRAHAM REGIONAL MEDICAL CTR-OUTPATIENT RADIOLOGY, ADDRESS: 1600 SOUTH 20TH AVENUE, BUILDING B, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-3844, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED4151, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CTR RURAL HEALTH CLINIC, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC, ADDRESS: 2250 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4006, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4152, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CTR-REHABILITATIVE SERV, LEGALLY: MT GRAHAM REGIONAL MEDICAL CTR-REHABILITATIVE SERV, ADDRESS: 2290 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4220, FAX: (928) 348-4234, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4153, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CENTER- MRI, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER- MRI, ADDRESS: 1600 SOUTH 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4006, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4154, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CENTER- SLEEP LAB, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER- SLEEP LAB, ADDRESS: 1600 SOUTH 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4006, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4155, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CTR- OUTPATIENT LAB, LEGALLY: MT GRAHAM REGIONAL MEDICAL CTR- OUTPATIENT LABORATORY, ADDRESS: 1600 SOUTH 20TH AVENUE, BUILDING B, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4215, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4156, LICENSE: , NAME: MT GRAHAM REGIONAL MEDICAL CTR- OUTPT VISITING PH, LEGALLY: MT GRAHAM REGIONAL MEDICAL CTR- OUTPT VISITING PHYSICIANS, ADDRESS: 2115 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-3770, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4158, LICENSE: OTC4735, NAME: HELEN FOUNDATION CLINIC, LEGALLY: HELEN FOUNDATION CLINIC, ADDRESS: 6641 EAST BAYWOOD AVENUE, SUITE C-2, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 983-8376, FAX: (480) 671-5860, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4164, LICENSE: , NAME: CARONDELET NEUROLOGICAL INSTITUTE SPINE CENTER, LEGALLY: CARONDELET NEUROLOGICAL INSTITUTE SPINE CENTER, ADDRESS: 6567 EAST CARONDELET DRIVE #355, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 888-8778, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4168, LICENSE: OSC4658, NAME: GYNESURGICAL, LLC, LEGALLY: GYNESURGICAL, LLC, ADDRESS: 1008 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 254-6369, FAX: (602) 254-6372, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4170, LICENSE: OTC4835, NAME: BEATITUDES CAMPUS WELLNESS CENTER, LEGALLY: BEATITUDES CAMPUS WELLNESS CENTER, ADDRESS: 1610 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-2611, FAX: (602) 995-4854, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4173, LICENSE: OTC5374, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 14420 W MEEKER BLVD, BULDING A, STE 200, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 974-7858, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4179, LICENSE: OTC4746, NAME: ASU HEALTH SERVICES - SDA SUN DEVIL ATHLETICS, LEGALLY: ASU HEALTH SERVICES - SDA SUN DEVIL ATHLETICS, ADDRESS: 500 EAST VETERANS WAY, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 965-1145, FAX: (480) 965-2269, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4180, LICENSE: OTC4745, NAME: ASU HEALTH SERVICES-SRC, LEGALLY: ASU HEALTH SERVICES-SRC, ADDRESS: 400 EAST APACHE, SUITE #130, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 965-1145, FAX: (480) 965-2269, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4181, LICENSE: OTC4765, NAME: SCOTTSDALE HEALTHCARE OUTPT & INFUSION SERVICES, LEGALLY: SCOTTSDALE HEALTHCARE OUTPATIENT & INFUSION SERVICES, ADDRESS: 3501 NORTH SCOTTSDALE ROAD, SUITE 136, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4150, FAX: (480) 882-4579, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4182, LICENSE: OTC4692, NAME: DEER VALLEY FAMILY PRACTICE AT THE BEATITUDES, LEGALLY: DEER VALLEY FAMILY PRACTICE AT THE BEATITUDES, ADDRESS: 1668 WEST GLENDALE AVENUE, SUITE #128, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 544-8541, FAX: (602) 544-8543, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4185, LICENSE: HSPC5325, NAME: COPPER COTTAGE (031557), LEGALLY: COPPER COTTAGE, ADDRESS: 5037 EAST BROADWAY ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 398-2404, FAX: (480) 222-4661, CAPACITY: 7, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4192, LICENSE: , NAME: TU CASA HOME HEALTH INC, LEGALLY: TU CASA HOME HEALTH INC, ADDRESS: 4515 SOUTH LAKESHORE DRIVE, SUITE 102, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 451-8065, FAX: (480) 967-7069, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4187, LICENSE: OTC4718, NAME: FASTMED URGENT CARE-RAY, LEGALLY: FASTMED URGENT CARE - RAY, ADDRESS: 2875 WEST RAY ROAD, SUITE 8, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 855-9400, FAX: (480) 782-1598, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4191, LICENSE: HSPC4730, NAME: HOSPICE OF THE VALLEY'S LUND FAMILY HOSPICE HOME, LEGALLY: HOSPICE OF THE VALLEY'S LUND FAMILY HOSPICE HOME, ADDRESS: 1982 EAST WOODSIDE COURT, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 12, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4189, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE CTR-MER, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE CENTER- MERCY GILBERT, ADDRESS: 3420 SOUTH MERCY DRIVE SUITE 121, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 728-9880, FAX: (602) 798-9969, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4193, LICENSE: HHA4795, NAME: LOCAL HOME HEALTHCARE INC, LEGALLY: LOCAL HOME HEALTHCARE INC, ADDRESS: 4340 WEST MCDOWELL ROAD, SUITE 5-A, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 272-4502, FAX: (602) 272-8634, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4079, LICENSE: OTC4675, NAME: 5-MINUTE WALK - IN CLINIC, LEGALLY: 5-MINUTE WALK - IN CLINIC, ADDRESS: 1962 EAST JUAN SANCHEZ BOULEVARD, SUITE C-2, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-4825, FAX: (928) 627-9105, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4195, LICENSE: OTC4811, NAME: ABRAZO MEDICAL GROUP, CAVE CREEK, LEGALLY: ABRAZO MEDICAL GROUP, CAVE CREEK, ADDRESS: 2340 EAST BEARDSLEY ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 482-0756, FAX: (602) 482-2874, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4196, LICENSE: OTC5495, NAME: CONTINUUM ADVANCED HEALTHCARE, LEGALLY: CONTINUUM ADVANCED HEALTHCARE, ADDRESS: 3710 WEST GREENWAY ROAD, SUITE 104, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 993-0231, FAX: (602) 993-5648, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4197, LICENSE: , NAME: PAYSON REGIONAL MEDICAL CENTER IMAGING CENTER, LEGALLY: PAYSON REGIONAL MEDICAL CENTER IMAGING CENTER, ADDRESS: 127 EAST MAIN STREET, SUITE C, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-3222, FAX: (928) 472-1295, CAPACITY: 0, COUNTY: GILA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4198, LICENSE: , NAME: FOX CREEK ADVANCED WOUND CARE, LEGALLY: FOX CREEK ADVANCED WOUND CARE, ADDRESS: 2500 CANYON ROAD BUILDING C SUITE 3, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1454, FAX: (928) 444-1481, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4200, LICENSE: OTC4729, NAME: LITTLE CLINIC-BELL ROAD MARKETPLACE, THE, LEGALLY: LITTLE CLINIC-BELL ROAD MARKETPLACE, THE, ADDRESS: 6611 WEST BELL ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 347-2400, FAX: (480) 347-2401, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED4204, LICENSE: OTC4743, NAME: PARAGON HEALTHCARE OF ARIZONA, LLC, LEGALLY: PARAGON HEALTHCARE OF ARIZONA, LLC, ADDRESS: 2585 MIRACLE MILE SUITE 107, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-8168, FAX: (928) 444-8169, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4205, LICENSE: OSC5550, NAME: BILTMORE SURGICAL CENTER, LEGALLY: BILTMORE SURGICAL CENTER, ADDRESS: 2222 EAST HIGHLAND AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 490-3661, FAX: (602) 490-3663, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4207, LICENSE: OSC4727, NAME: NORTH SCOTTSDALE OUTPATIENT SURGERY CENTER LLC, LEGALLY: NORTH SCOTTSDALE OUTPATIENT SURGERY CENTER LLC, ADDRESS: 8913 EAST BELL ROAD, SUITE #101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 284-4355, FAX: (480) 284-4951, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4208, LICENSE: , NAME: BANNER THUNDERBIRD REHAB SERVICES, LEGALLY: BANNER THUNDERBIRD REHAB SERVICES, ADDRESS: 5605 WEST EUGIE AVENUE, SUITE 215, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-5830, FAX: (602) 865-5857, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4209, LICENSE: , NAME: BANNER THUNDERBIRD CARDIAC & PULMONARY/PRE-ADMITTI, LEGALLY: BANNER THUNDERBIRD CARDIAC & PULMONARY/PRE-ADMITTING TESTING, ADDRESS: 5601 WEST EUGIE AVENUE, SUITE 211 A & B, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-2005, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4210, LICENSE: , NAME: BANNER THUNDERBIRD REHABILITATION SERVICES, LEGALLY: BANNER THUNDERBIRD REHABILITATION SERVICES, ADDRESS: 5605 WEST EUGIE AVENUE, SUITE 206, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-5830, FAX: (602) 865-2096, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED4211, LICENSE: OSC5336, NAME: PREMIER PAIN SOLUTIONS, LLC, LEGALLY: PREMIER PAIN SOLUTIONS, LLC, ADDRESS: 10255 NORTH 32ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 354-5659, FAX: (602) 795-9948, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4216, LICENSE: OTC4762, NAME: INSIGHT IMAGING - CAMELBACK MRI, LEGALLY: INSIGHT IMAGING - CAMELBACK MRI, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 265-3229, FAX: (602) 274-8148, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0209, LICENSE: H0175, NAME: ARROWHEAD HOSPITAL, LEGALLY: ARROWHEAD HOSPITAL, ADDRESS: 18701 NORTH 67TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-1000, FAX: (623) 561-7142, CAPACITY: 217, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4221, LICENSE: OTC5363, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 212, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 543-6880, FAX: (480) 543-5933, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4222, LICENSE: OTC5364, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1300 NORTH 12TH STREET, SUITE 616, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-2270, FAX: (602) 839-6306, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4223, LICENSE: OTC4752, NAME: SUN LIFE CENTER FOR WOMEN AND CHILDREN, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC, ADDRESS: 1856 EAST FLORENCE BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 381-0380, FAX: (520) 836-1826, CAPACITY: 0, COUNTY: PINAL TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4225, LICENSE: OTC4942, NAME: QUALITY MEDICAL IMAGING OF ARIZONA, INC, LEGALLY: QUALITY MEDICAL IMAGING OF ARIZONA, INC, ADDRESS: 8650 NORTH 35TH AVENUE, SUITE #99, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (702) 839-1133, FAX: (702) 851-1616, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4190, LICENSE: OTC4889, NAME: BABYMOON INN, LLC, LEGALLY: BABYMOON INN, LLC, ADDRESS: 215 EAST LEXINGTON, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (480) 270-9819, FAX: (480) 295-7972, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4206, LICENSE: OTC4748, NAME: CIGNA PALM VALLEY MEDICAL OFFICE, LEGALLY: CIGNA PALM VALLEY MEDICAL OFFICE, ADDRESS: 14445 WEST MCDOWELL ROAD, SUITE A104, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (602) 371-2964, FAX: (602) 609-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4212, LICENSE: HHA4754, NAME: GEMINI HEALTHCARE, LLC, LEGALLY: GEMINI HEALTHCARE, LLC, ADDRESS: 14301 NORTH 87TH STREET, SUITE 310, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 948-1847, FAX: (480) 948-3859, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED4213, LICENSE: OTC4749, NAME: OCOTILLO DIALYSIS, LEGALLY: OCOTILLO DIALYSIS, ADDRESS: 975 WEST CHANDLER HEIGHTS ROAD, UNIT 101, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 802-4405, FAX: (480) 802-5390, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4227, LICENSE: HHA4734, NAME: ADVANTAGE HEALTH INC, LEGALLY: ADVANTAGE HEALTH INC, ADDRESS: 2281 WEST 24TH STREET, SUITE 7, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 317-1300, FAX: (928) 317-1315, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4228, LICENSE: OTC4740, NAME: EZ SLEEP LAB - COTTONWOOD, LEGALLY: EZ SLEEP LAB - COTTONWOOD, ADDRESS: 401 CALVARY WAY SUITE B, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 778-2644, FAX: (623) 934-5603, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4229, LICENSE: OTC4741, NAME: TOTAL MEDICAL CARE, LEGALLY: TOTAL MEDICAL CARE, ADDRESS: 5048 WEST NORTHERN AVENUE, SUITE 106, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 435-0190, FAX: (623) 435-0193, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4232, LICENSE: , NAME: CARONDELET HEALTH NETWORK - PRIMEROS PASOS SOUTH, LEGALLY: CARONDELET HEALTH NETWORK - PRIMEROS PASOS SOUTH, ADDRESS: 4600 SOUTH PARK AVENUE, SUITE 6B, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 807-5300, FAX: (520) 807-5301, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4235, LICENSE: , NAME: SIERRA TUCSON OUTPATIENT PROGAM, LEGALLY: SIERRA TUCSON OUTPATIENT PROGRAM, ADDRESS: 39580 SOUTH LAGO DEL ORO PARKWAY, SUITE 112, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (800) 624-9001, FAX: (520) 825-3523, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4241, LICENSE: OTC4978, NAME: EAST VALLEY FAMILY MEDICAL, LEGALLY: EAST VALLEY FAMILY MEDICAL, ADDRESS: 1343 NORTH ALMA SCHOOL ROAD #160, 205, 295, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-1853, FAX: (480) 963-1854, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2517, LICENSE: HSPC3421, NAME: HOSPICE FAMILY CARE INPAT UNIT PEORIA (031537), LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT PEORIA, ADDRESS: 9045 WEST ATHENS, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 875-8080, FAX: (623) 875-0170, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4242, LICENSE: OTC4756, NAME: OCCUPATIONAL AND URGENT CARE HEALTH CENTERS, LLC, LEGALLY: OCCUPATIONAL AND URGENT CARE HEALTH CENTERS, LLC, ADDRESS: 15236 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 337-8356, FAX: (602) 337-8364, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4231, LICENSE: OTC4750, NAME: DESERT SPRINGS CANCER CARE, PLC, LEGALLY: DESERT SPRINGS CANCER CARE, PLC, ADDRESS: 21803 NORTH SCOTTSDALE ROAD, SUITE #110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 585-4673, FAX: (480) 585-4672, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4233, LICENSE: OTC4788, NAME: DERMA HEALTH INSTITUTE OF PARADISE VALLEY, LEGALLY: DERMA HEALTH INSTITUTE OF PARADISE VALLEY, ADDRESS: 10214 NORTH TATUM BOULEVARD, SUITE B-300, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (480) 991-7900, FAX: (480) 543-1118, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4239, LICENSE: H4774, NAME: ARIZONA REGIONAL MEDICAL CENTER- APACHE JUNCTION, LEGALLY: ARIZONA REGIONAL MEDICAL CENTER- APACHE JUNCTION, ADDRESS: 2050 WEST SOUTHERN, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 898-3333, FAX: (480) 464-6063, CAPACITY: 30, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4244, LICENSE: HSPC4786, NAME: HOMESTEAD HOSPICE AND PALLIATIVE CARE OF MARICOPA, LEGALLY: CREATIVE HOSPICE & PALLIATIVE CARE OF ARIZONA, ADDRESS: 312 NORTH ALMA SCHOOL ROAD, SUITE 11, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 584-3734, FAX: (480) 584-3744, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4203, LICENSE: OTC4737, NAME: ABRAZO MEDICAL GROUP - ARROWHEAD, LEGALLY: ABRAZO MEDICAL GROUP- ARROWHEAD, ADDRESS: 18700 NORTH 64TH PLAZA, SUITE #205, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-0526, FAX: (623) 561-0650, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4249, LICENSE: HSPC4736, NAME: SERENITY HOUSE, LEGALLY: SERENITY HOUSE, ADDRESS: 4122 NORTH 17TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 265-4663, FAX: (602) 443-5398, CAPACITY: 20, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4250, LICENSE: OSC4860, NAME: EAST VALLEY SURGERY CENTER, LLC, LEGALLY: EAST VALLEY SURGERY CENTER, LLC, ADDRESS: 1855 EAST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 829-6100, FAX: (480) 446-7602, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4251, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- ALVERNON, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ALVERNON CLINIC, THE, ADDRESS: 707 NORTH ALVERNON, SUITE 301, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-1460, FAX: (520) 694-1464, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4252, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- WILMOT C, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- WILMOT CLINIC, THE, ADDRESS: 535 NORTH WILMOT, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-4000, FAX: (520) 694-0635, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4254, LICENSE: OTC5452, NAME: VERDE VALLEY ORTHOPEDIC ASSOCIATES, LEGALLY: VERDE VALLEY ORTHOPEDIC ASSOCIATES, ADDRESS: 450 SOUTH WILLARD STREET, SUITE 105, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4257, LICENSE: OTC4776, NAME: AMERICAN MEDICAL DIAGNOSTICS- EAST MESA, LEGALLY: AMERICAN MEDICAL DIAGNOSTICS - EAST MESA, ADDRESS: 6828 EAST BROWN ROAD, SUITE #100, CITY: MESA, STATE: AZ, ZIP: 85207, PHONE: (480) 214-9018, FAX: (602) 445-7342, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4245, LICENSE: OTC4764, NAME: LITTLE CLINIC WEST BELL AND REEMS, THE, LEGALLY: THE LITTLE CLINIC WEST BELL AND REEMS, ADDRESS: 15510 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85379, PHONE: (480) 717-4903, FAX: (480) 717-4904, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4246, LICENSE: OTC4768, NAME: LITTLE CLINIC-MESA, THE, LEGALLY: LITTLE CLINIC-MESA, THE, ADDRESS: 1935 NORTH STAPLEY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 339-6178, FAX: (480) 339-6179, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4258, LICENSE: , NAME: OUTPATIENT DIAGNOSTIC CENTER THE, A DEPT OF HAVASU, LEGALLY: OUTPATIENT DIAGNOSTIC CENTERTHE, A DEPT OF HAVASU REGIONAL MEDICAL CENTER, ADDRESS: 1840 MESQUITE AVENUE, SUITE D, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4264, LICENSE: , NAME: SIERRA VISTA REGIONAL HLTH CTR, INC OUTPT INFUSION, LEGALLY: SIERRA VISTA REGIONAL HLTH CTR, INC OUTPT INFUSION & LAB DRAWS, ADDRESS: 185 SOUTH MOORMAN AVENUE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3000, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0240, LICENSE: SH0178, NAME: HEALTHSOUTH VALLEY OF THE SUN REHABILITATION, LEGALLY: HEALTHSOUTH VALLEY OF THE SUN REHABILITATION, ADDRESS: 13460 NORTH 67TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 878-8800, FAX: (623) 334-5403, CAPACITY: 75, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0225, LICENSE: SH0176, NAME: HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL, LEGALLY: HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL, ADDRESS: 9630 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 551-5400, FAX: (480) 614-2155, CAPACITY: 60, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4226, LICENSE: OTC4763, NAME: AZ PAIN CENTERS OF TUCSON, LEGALLY: AZ PAIN CENTERS OF TUCSON, ADDRESS: 6080 NORTH LA CHOLLA BOULEVARD, #100, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4269, LICENSE: HSPC4800, NAME: NEW HOPE HOSPICE OF ARIZONA, INC, LEGALLY: NEW HOPE HOSPICE OF ARIZONA, INC, ADDRESS: 500 NORTH LAKE HAVASU ROAD, SUITE B104 & B106, CITY: LAKE HAVASU, STATE: AZ, ZIP: 86403, PHONE: (928) 854-4200, FAX: (928) 854-4201, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED4271, LICENSE: SH4823, NAME: AURORA BEHAVIORAL HEALTHCARE-TEMPE, LEGALLY: AURORA BEHAVIORAL HEALTHCARE-TEMPE, ADDRESS: 6350 SOUTH MAPLE AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 345-5400, FAX: (623) 344-4437, CAPACITY: 75, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4272, LICENSE: HSPC5656, NAME: EMBLEM HOSPICE, LEGALLY: EMBLEM HOSPICE, ADDRESS: 1660 SOUTH ALMA SCHOOL ROAD, SUITE 223, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 821-8338, FAX: (480) 897-2601, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4261, LICENSE: OTC4767, NAME: CIGNA ARROWHEAD RANCH MEDICAL OFFICE, LEGALLY: CIGNA ARROWHEAD RANCH MEDICAL OFFICE, ADDRESS: 21731 NORTH 77TH AVENUE, BUILDING D, STE 1300-1325, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4263, LICENSE: OTC4793, NAME: FASTMED URGENT CARE-MCDOWELL, LEGALLY: FASTMED URGENT CARE - MCDOWELL, ADDRESS: 7730 EAST MCDOWELL ROAD, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 699-3314, FAX: (480) 284-7619, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4273, LICENSE: HSPC5322, NAME: COPPER COMMUNITIES HOSPICE, LEGALLY: COPPER COMMUNITY HOSPICE, ADDRESS: 226 MAIN STREET, CITY: SUPERIOR, STATE: AZ, ZIP: 85173, PHONE: (928) 425-5400, FAX: (928) 425-5411, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4275, LICENSE: HHA4807, NAME: CHRISTIAN CARE HOME HEALTH AGENCY, LEGALLY: CHRISTIAN CARE HOME HEALTH AGENCY, ADDRESS: 11830 NORTH 19TH AVENUE (PENDLETON CENTER), CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 443-5439, FAX: (602) 443-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4276, LICENSE: OTC4861, NAME: CHRISTIAN CARE OUTPATIENT REHAB CENTER, LEGALLY: CHRISTIAN CARE OUTPATIENT REHAB CENTER, ADDRESS: 11830 NORTH 19TH AVENUE, SUITE #101, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 443-5439, FAX: (602) 443-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4279, LICENSE: HHA4827, NAME: NETWORK OF CARE, LLC, LEGALLY: NETWORK OF CARE, LLC, ADDRESS: 8704 EAST HANNIBAL STREET, CITY: MESA, STATE: AZ, ZIP: 85207, PHONE: (480) 794-1919, FAX: (480) 634-8978, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4282, LICENSE: , NAME: ADVENTURE DOC CLINIC, LEGALLY: ADVENTURE DOC CLINIC, ADDRESS: 4743 NORTH FIRST AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 664-7661, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4283, LICENSE: OTC4783, NAME: SCOLIOSIS REHAB, INC, LEGALLY: SCOLIOSIS REHAB, INC, ADDRESS: 5219 EAST VIA BUENA VISTA, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (715) 295-9820, FAX: (715) 295-9821, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4268, LICENSE: OTC5131, NAME: 1ST CARE URGENT CARE, LLC, LEGALLY: 1ST CARE URGENT CARE, LLC, ADDRESS: 1300 SOUTH WATSON ROAD, SUITE 104, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (623) 251-3201, FAX: (623) 251-3205, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3311, LICENSE: H3972, NAME: MERCY GILBERT MEDICAL CENTER, LEGALLY: MERCY GILBERT MEDICAL CENTER, ADDRESS: 3555 SOUTH VAL VISTA DRIVE, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 728-8327, FAX: (480) 728-9600, CAPACITY: 212, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4237, LICENSE: HSPC5462, NAME: ZION'S WAY HOSPICE, LEGALLY: ZION'S WAY HOSPICE, ADDRESS: 608 ELM STREET, SUITE C, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (925) 645-0366, FAX: (928) 645-0370, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4238, LICENSE: HHA5463, NAME: ZION'S WAY HOME HEALTH, LEGALLY: ZION'S WAY HOME HEALTH, ADDRESS: 608 ELM STREET, SUITE C, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (435) 688-0648, FAX: (435) 688-0715, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4270, LICENSE: HHA4779, NAME: MESA VIEW HOME CARE, LLC, LEGALLY: MESA VIEW HOME CARE, LLC, ADDRESS: 330 FALCON RIDGE PARKWAY, BUILDING 200, SUITE A, CITY: MESQUITE, STATE: NV, ZIP: 89027, PHONE: (702) 346-2460, FAX: (702) 346-2466, CAPACITY: 0, COUNTY: CLARK TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4274, LICENSE: HSPC4802, NAME: HOSPICE OF THE VALLEY RYAN HOUSE (031500), LEGALLY: HOSPICE OF THE VALLEY RYAN HOUSE, ADDRESS: 110 WEST MERRELL STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 234-6750, FAX: (602) 266-0895, CAPACITY: 20, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4277, LICENSE: OTC4867, NAME: NEXTCARE URGENT CARE-PARK, LEGALLY: NEXTCARE URGENT CARE-PARK, ADDRESS: 501 NORTH PARK AVENUE, SUITE 110, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4286, LICENSE: OTC4775, NAME: LITTLE COLORADO PHYSICIANS OFFICE, LEGALLY: LITTLE COLORADO PHYSICIANS OFFICE, ADDRESS: 200 EAST LEE STREET, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-3396, FAX: (928) 289-2801, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4247, LICENSE: HHA4781, NAME: SOUTHLAND HOME HEALTH, LEGALLY: SOUTHLAND HOME CARE, ADDRESS: 14100 NORTH 83RD AVENUE, SUITE 245, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (602) 773-7300, FAX: (602) 773-7301, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4296, LICENSE: HHA4843, NAME: DIVINE FAVOUR HEALTH SERVICES, LLC, LEGALLY: DIVINE FAVOUR HEALTH SERVICES, LLC, ADDRESS: 10640 NORTH 28TH DRIVE, SUITE C205-20, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 577-3137, FAX: (602) 795-6781, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4317, LICENSE: HHA4819, NAME: AMEDISYS HOME HEALTH, LEGALLY: AMEDISYS ARIZONA LLC, ADDRESS: 2971 WILLOW CREEK ROAD, SUITE 2A-C, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 443-7663, FAX: (928) 443-8577, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4297, LICENSE: , NAME: FIT KIDS OF ARIZONA - COTTONWOOD, LEGALLY: FIT KIDS OF ARIZONA - COTTONWOOD, ADDRESS: 269 SOUTH CANDY LANE, SUITE 103, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (866) 291-4635, FAX: (928) 639-5393, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4298, LICENSE: , NAME: FIT KIDS OF ARIZONA - COTTONWOOD, LEGALLY: FIT KIDS OF ARIZONA - COTTONWOOD, ADDRESS: 269 SOUTH CANDY LANE, SUITE 105, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (866) 291-4635, FAX: (928) 639-5393, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4299, LICENSE: OTC4809, NAME: SACRED PEAKS HEALTH CENTER, LEGALLY: SACRED PEAKS HEALTH CENTER, ADDRESS: 3480 EAST ROUTE 66, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 863-7337, FAX: (928) 525-0047, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4301, LICENSE: HHA4897, NAME: EVEREST HEALTHCARE SOLUTIONS, LEGALLY: EVEREST HEALTHCARE SOLUTIONS, ADDRESS: 4910 EAST ELLIOT ROAD, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (630) 836-8626, FAX: (630) 735-5103, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4303, LICENSE: , NAME: UNIVERSITY OF AZ MED CTR- UNIVERSITY CAMPUS, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CTR- UNIVERSITY CAMPUS SURGERY, MULTI-SPECI, THE, ADDRESS: 1501 NORTH CAMPBELL AVENUE, SUITE 5400, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-6144, FAX: (520) 694-7058, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4248, LICENSE: HHA4799, NAME: ST ELIZABETH HOME HEALTH INC, LEGALLY: ST ELIZABETH HOME HEALTH INC, ADDRESS: 209 EAST BASELINE ROAD, SUITE # E-207, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 456-4400, FAX: (480) 755-3472, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4302, LICENSE: OTC4803, NAME: EL RIO CLINIC AT CODAC BEHAVIORAL HEALTH-EAST, LEGALLY: EL RIO CLINIC AT CODAC BEHAVIORAL HEALTH-EAST, ADDRESS: 4901 EAST 5TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 202-1800, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4304, LICENSE: , NAME: UNIVERSITY OF AZ MED CTR-UNIVERSITY CAMPUS, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- UNIVERSITY CAMPUS SURGERY, THE, ADDRESS: 1501 NORTH CAMPBELL AVENUE SUITE 4400, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-4032, FAX: (520) 694-2404, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4305, LICENSE: OTC4882, NAME: SIMONMED IMAGING - METRO II, LEGALLY: SIMONMED IMAGING - METRO II, ADDRESS: 3201 WEST PEORIA AVENUE, SUITE B402 -B404, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4307, LICENSE: HHA4873, NAME: CORNERSTONE HEALTHCARE INC, LEGALLY: CORNERSTONE HEALTHCARE INC, ADDRESS: 200 NORTH NEBRASKA STREET, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (800) 743-8013, FAX: (480) 478-0213, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4308, LICENSE: , NAME: OUTPATIENT DIAGNOSTIC CENTER, THE A DEPT OF HAVASU, LEGALLY: OUTPATIENT DIAGNOSTIC CENTER, THE A DEPT OF HAVASU, ADDRESS: 1840 MESQUITE AVENUE, SUITE F, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4309, LICENSE: OSC4905, NAME: MESQUITE SURGERY CENTER, LLC, LEGALLY: MESQUITE SURGERY CENTER, LLC, ADDRESS: 7445 EAST TANQUE VERDE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 722-0929, FAX: (520) 722-0930, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4310, LICENSE: OTC4862, NAME: LITTLE CLINIC GILBERT, THE, LEGALLY: LITTLE CLINIC GILBERT, THE, ADDRESS: 6470 SOUTH HIGLEY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85298, PHONE: (480) 809-2409, FAX: (480) 809-2410, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4265, LICENSE: OTC4797, NAME: OASIS URGENT CARE, LEGALLY: OASIS URGENT CARE, ADDRESS: 2181 EAST PECOS ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 398-3638, FAX: (480) 398-3643, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4311, LICENSE: OTC4875, NAME: MIRAVAL RESORT TUCSON, LEGALLY: MIRAVAL RESORT TUCSON, ADDRESS: 5000 EAST VIA ESTANCIA MIRAVAL, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (800) 825-4000, FAX: (520) 825-5163, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4312, LICENSE: OTC4876, NAME: PIMA PARTNERSHIP HEALTH CENTER, LEGALLY: PIMA PARTNERSHIP HEALTH CENTER, ADDRESS: 1346 NORTH STONE AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 616-4944, FAX: (520) 616-4943, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4314, LICENSE: OTC4854, NAME: SIMONMED IMAGING - QUEEN CREEK, LEGALLY: SIMONMED IMAGING - QUEEN CREEK, ADDRESS: 36297 NORTH GANTZEL ROAD, SUITE #101, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85240, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4315, LICENSE: OTC4929, NAME: SIMONMED IMAGING - PALM VALLEY, LEGALLY: SIMONMED IMAGING - PALM VALLEY, ADDRESS: 13657 WEST MCDOWELL ROAD, SUITE 111, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 535-1166, FAX: (623) 535-4040, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4281, LICENSE: HHA4804, NAME: OPTIMUM HEALTHCARE, INC, LEGALLY: OPTIMUM HEALTHCARE, INC, ADDRESS: 1050 EAST UNIVERSITY, SUITE #9, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 833-7514, FAX: (480) 733-2487, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4319, LICENSE: OTC4896, NAME: SIMONMED IMAGING - 19TH AVENUE, LEGALLY: SIMONMED IMAGING - 19TH AVENUE, ADDRESS: 6707 NORTH 19TH AVENUE, SUITE 108, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4320, LICENSE: OTC4917, NAME: SIMONMED IMAGING - STADIUM VILLAGE, LEGALLY: SIMONMED IMAGING - STADIUM VILLAGE, ADDRESS: 14823 WEST BELL ROAD SUITE 110, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 214-1492, FAX: (623) 546-5783, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4291, LICENSE: OTC5176, NAME: SCOTTSDALE HEALTHCARE BARIATRICS CENTER, LEGALLY: SCOTTSDALE HEALTHCARE BARIATRICS CENTER, ADDRESS: 10210 NORTH 92ND STREET SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 391-3885, FAX: (480) 323-4128, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4321, LICENSE: OTC4919, NAME: SIMONMED IMAGING - PRESCOTT VALLEY, LEGALLY: SIMONMED IMAGING - PRESCOTT VALLEY, ADDRESS: 3033 WINDSONG DRIVE SUITE 102, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-5250, FAX: (928) 775-5728, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4322, LICENSE: OTC4838, NAME: CIGNA CMG CARETODAY-DOWNTOWN, LEGALLY: CIGNA CMG CARETODAY-DOWNTOWN, ADDRESS: 102 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4324, LICENSE: OTC4934, NAME: RIM COUNTRY HEALTH, LEGALLY: RIM COUNTRY HEALTH, ADDRESS: 807 WEST LONGHORN ROAD, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-1120, FAX: (928) 474-0505, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4325, LICENSE: OTC4866, NAME: NEXTCARE URGENT CARE - FLORENCE, LEGALLY: NEXTCARE URGENT CARE - FLORENCE, ADDRESS: 1683 EAST FLORENCE BOULEVARD, SUITE 7, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4289, LICENSE: , NAME: PAIN MDS, LEGALLY: PAIN MDS, ADDRESS: 2525 WEST CAREFREE HIGHWAY SUITE 134, CITY: PHOENIX, STATE: AZ, ZIP: 85085, PHONE: (602) 592-4567, FAX: (623) 580-5249, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4295, LICENSE: OTC4833, NAME: SIMONMED IMAGING - FASHION SQUARE, LEGALLY: SIMONMED IMAGING-FASHION SQUARE, ADDRESS: 6740 EAST CAMELBACK ROAD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 584-5548, FAX: (480) 668-7546, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4329, LICENSE: HSPC4839, NAME: SERENITY HOSPICE AND PALLIATIVE CARE-TUCSON, LEGALLY: SERENITY HOSPICE AND PALLIATIVE CARE-TUCSON, ADDRESS: 1605 EAST RIVER ROAD, SUITE 201, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 886-2344, FAX: (602) 443-5398, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4330, LICENSE: HHA5617, NAME: BRIGHTSTAR OF GREATER SCOTTSDALE, LEGALLY: BRIGHTSTAR OF GREATER SCOTTSDALE, ADDRESS: 10752 NORTH 89TH PLACE, SUITE 232, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 302-5139, FAX: (480) 302-5156, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4332, LICENSE: OTC4826, NAME: WESTMINSTER VILLAGE WELLNESS CENTER, LEGALLY: WESTMINSTER VILLAGE WELLNESS CENTER, ADDRESS: 12000 NORTH 90TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 451-2156, FAX: (480) 451-2154, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4335, LICENSE: OTC4967, NAME: PHOENIX NEUROLOGICAL & SLEEP INSTITUTE, LEGALLY: PHOENIX NEUROLOGICAL & SLEEP INSTITUTE, ADDRESS: 1343 NORTH ALMA SCHOOL ROAD SUITE 125, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 776-2982, FAX: (480) 917-7309, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4336, LICENSE: OTC5368, NAME: PHOENICIAN PAIN AND REHABILITATION CENTER, LLC, LEGALLY: PHOENICIAN PAIN AND REHABILITATION CENTER, LLC, ADDRESS: 1343 NORTH ALMA SCHOOL ROAD, SUITE 135, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 398-1940, FAX: (480) 782-1453, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4338, LICENSE: OTC4971, NAME: EAST VALLEY FAMILY MEDICAL, PNI, LEGALLY: EAST VALLEY FAMILY MEDICAL, PNI, ADDRESS: 606 NORTH COUNTRY CLUB DRIVE SUITE 1 & 5, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 963-1853, FAX: (480) 733-4440, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4339, LICENSE: OTC4969, NAME: PHOENICIAN PAIN AND REHABILITATION CENTER, LLC, LEGALLY: PHOENICIAN PAIN AND REHABILITATION CENTER, LLC, ADDRESS: 606 NORTH COUNTRY CLUB DRIVE SUITE 4, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 398-1940, FAX: (480) 782-1453, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4341, LICENSE: OTC4965, NAME: SOUTHWEST ONCOLOGY CENTERS-YUMA, LLC, LEGALLY: SOUTHWEST ONCOLOGY CENTERS-YUMA, LLC, ADDRESS: 1951 WEST 25TH STREET, SUITE F, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 314-4800, FAX: (928) 314-4833, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4344, LICENSE: OTC4824, NAME: ARIZONA ADVANCED SURGERY CENTER LLC, LEGALLY: ARIZONA ADVANCED SURGERY CENTER LLC, ADDRESS: 2055 EAST SOUTHERN AVENUE, SUITE C, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 413-2229, FAX: (480) 874-2231, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4347, LICENSE: , NAME: LA PAZ REGIONAL HOSPITAL MRI, LEGALLY: LA PAZ REGIONAL HOSPITAL MRI, ADDRESS: 1200 WEST MOHAVE ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-7713, FAX: (928) 669-7324, CAPACITY: 0, COUNTY: LA PAZ TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4348, LICENSE: , NAME: LA PAZ REGIONAL HOSPITAL PHYSICAL THERAPY, LEGALLY: LA PAZ REGIONAL HOSPITAL PHYSICAL THERAPY, ADDRESS: 1200 WEST MOHAVE ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-7391, FAX: (928) 669-7482, CAPACITY: 0, COUNTY: LA PAZ TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4349, LICENSE: , NAME: PAGE HOSPITAL- PHMAC REHAB SERVICES, LEGALLY: PAGE HOSPITAL- PHMAC REHAB SERVICES, ADDRESS: 601 NORTH NAVAJO, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-0115, FAX: (928) 645-3549, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4350, LICENSE: OTC4895, NAME: HEALTH FIRST URGENT CARE, LEGALLY: HEALTH FIRST URGENT CARE, LLC, ADDRESS: 888 SOUTH GREENFIELD ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 892-1300, FAX: (480) 269-9090, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4351, LICENSE: , NAME: BNC EPILEPSY AND NEURO MUSCULAR PROGRAMS, LEGALLY: BNC EPILEPSY AND NEURO MUSCULAR PROGRAMS, ADDRESS: 500 WEST THOMAS ROAD, SUITE 720, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6639, FAX: (602) 294-5957, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4469, LICENSE: SH4529, NAME: WESTERN REGIONAL MEDICAL CENTER CANCER HOSPITAL, LEGALLY: WESTERN REGIONAL MEDICAL CENTER CANCER HOSPITAL, ADDRESS: 14200 WEST FILLMORE STREET, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 207-3000, FAX: (623) 207-3003, CAPACITY: 24, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4352, LICENSE: OTC4837, NAME: VALLEY OXIMETRY SLEEP DISORDERS CTR-ARROWHEAD CTR, LEGALLY: VALLEY OXIMETRY SLEEP DISORDERS CTR-ARROWHEAD, ADDRESS: 6320 WEST UNION HILLS DRIVE, BUILDING B, STE 1000, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 328-5908, FAX: (480) 247-5391, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4353, LICENSE: OTC4850, NAME: SYCAMORE WELLNESS CENTER, LEGALLY: SYCAMORE WELLNESS CENTER, ADDRESS: 16701 SOUTH HOUGHTON ROAD, CITY: VAIL, STATE: AZ, ZIP: 85641, PHONE: (520) 879-3527, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4357, LICENSE: OTC4871, NAME: MILLER VALLEY ELEMENTARY SCHOOL ROOM C31, LEGALLY: MILLER VALLEY ELEMENTARY SCHOOL ROOM C31, ADDRESS: 900 WEST IRON SPRINGS ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4358, LICENSE: OTC4870, NAME: GLASSFORD HILL MIDDLE SCHOOL ROOM 135, LEGALLY: GLASSFORD HILL MIDDLE SCHOOL ROOM 135, ADDRESS: 6901 PANTHER PATH ROAD, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4359, LICENSE: OTC4927, NAME: PIMA COUNTY HEALTH DEPARTMENT - CATALINA, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - CATALINA, ADDRESS: 3535 EAST HAWSER ROAD, CITY: CATALINA, STATE: AZ, ZIP: 85739, PHONE: (520) 243-7911, FAX: (520) 791-6587, CAPACITY: 0, COUNTY: APACHE TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED4361, LICENSE: OTC5405, NAME: ARROWHEAD HEALTH CENTERS, LEGALLY: ARROWHEAD HEALTH CENTERS, ADDRESS: 16222 NORTH 59TH AVENUE, SUITE A-100, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (623) 334-4000, FAX: (623) 334-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3378, LICENSE: H3964, NAME: YAVAPAI REGIONAL MEDICAL CENTER-EAST, LEGALLY: YAVAPAI REGIONAL MEDICAL CENTER-EAST, ADDRESS: 7700 EAST FLORENTINE ROAD, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 442-8165, FAX: (928) 442-8161, CAPACITY: 72, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4362, LICENSE: OTC5055, NAME: FAMILY HEALTH PROVIDERS OF NORTHERN ARIZONA-SEDONA, LEGALLY: FAMILY HEALTH PROVIDERS OF NORTHERN ARIZONA- SEDONA, ADDRESS: 61 BELL ROCK PLAZA, SUITE A, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4363, LICENSE: OTC5293, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 10150 NORTH 67TH AVENUE, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 561-4547, FAX: (623) 412-4995, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4365, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CENTER, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER, THE, ADDRESS: 2800 EAST AJO WAY, SUITE 300, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 874-7500, FAX: (520) 874-7520, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4366, LICENSE: , NAME: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, LEGALLY: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, ADDRESS: 1300 NORTH 12TH STREET, SUITE 500, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-2606, FAX: (602) 839-4123, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4367, LICENSE: HSPC4911, NAME: ARIZONA FAMILY HOSPICE, LEGALLY: ARIZONA FAMILY HOSPICE, ADDRESS: 10505 NORTH 69TH STREET, SUITE 300, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85253, PHONE: (602) 330-3000, FAX: (480) 948-9911, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4374, LICENSE: OTC4883, NAME: DIAGNOSTIC LABORATORIES, LEGALLY: DIAGNOSTIC LABORATORIES, ADDRESS: 2338 WEST ROYAL PALM ROAD, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 864-3656, FAX: (602) 864-3660, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4377, LICENSE: OTC4909, NAME: NOVOCUR PAIN MANAGEMENT SOLUTIONS, LEGALLY: NOVOCUR PAIN MANAGEMENT SOLUTIONS, ADDRESS: 10025 EAST DYNAMITE BOULEVARD, SUITE B150, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85262, PHONE: (480) 515-1886, FAX: (480) 419-1193, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4378, LICENSE: HSPC4886, NAME: HOSPICE OF THE WEST, LLC, LEGALLY: HOSPICE OF THE WEST, LLC, ADDRESS: 21410 NORTH 19TH AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 343-6422, FAX: (602) 343-6297, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4379, LICENSE: OTC4887, NAME: ADVANTAGE URGENT CARE III, LEGALLY: ADVANTAGE URGENT CARE III, ADDRESS: 9515 WEST CAMELBACK ROAD, SUITE 136, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (602) 530-6189, FAX: (602) 548-2292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4380, LICENSE: OTC4920, NAME: WE CARE URGENT CARE CENTER PLLC, LEGALLY: WE CARE URGENT CARE CENTER PLLC, ADDRESS: 7615 WEST THUNDERBIRD ROAD #106, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (602) 330-8959, FAX: (623) 388-3824, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4381, LICENSE: OSC4986, NAME: EYE SURGERY CENTER AT THE BILTMORE, LEGALLY: EYE SURGERY CENTER AT THE BILTMORE, ADDRESS: 2222 EAST HIGHLAND AVENUE SUITE #101, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 279-2434, FAX: (602) 279-6475, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0208, LICENSE: SH0059, NAME: ARIZONA STATE HOSPITAL, LEGALLY: ARIZONA STATE HOSPITAL, ADDRESS: 2500 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 220-6000, FAX: (602) 220-6292, CAPACITY: 475, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2273, LICENSE: OTC3159, NAME: SELECT PHYSICAL THERAPY, LEGALLY: SELECT PHYSICAL THERAPY HOLDINGS, INC, ADDRESS: 4344 WEST BELL ROAD, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 230-8557, FAX: (602) 248-9233, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED4278, LICENSE: HSPC4874, NAME: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, LEGALLY: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, ADDRESS: 1063 RUTH STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-5655, FAX: (928) 445-2497, CAPACITY: 10, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4292, LICENSE: HSPC4872, NAME: JOAN AND DIANA HOSPICE HOME, LEGALLY: JOAN AND DIANA HOSPICE HOME, ADDRESS: 812 AIRWAY AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 692-4680, FAX: (928) 692-4659, CAPACITY: 12, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0246, LICENSE: H0132, NAME: SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER, LEGALLY: SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER, ADDRESS: 2200 SHOW LOW LAKE ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4375, FAX: (928) 537-8839, CAPACITY: 89, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3092, LICENSE: FED ONLY, NAME: CHINLE COMPREHENSIVE HEALTH CARE FACILITY, LEGALLY: DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY, ADDRESS: US HWY 191, HOSPITAL ROAD, CITY: CHINLE, STATE: AZ, ZIP: 86503, PHONE: (928) 674-7001, FAX: , CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4376, LICENSE: OTC4893, NAME: URGENT CARE EXTRA-SOUTHERN, LEGALLY: EAST VALLEY URGENT CARE-SOUTHERN, ADDRESS: 1120 SOUTH GILBERT ROAD, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED4386, LICENSE: OTC4995, NAME: FRESENIUS MEDICAL CARE - GILBERT, LEGALLY: FRESENIUS MEDICAL CARE - GILBERT, ADDRESS: 3511 SOUTH MERCY ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 857-8338, FAX: (480) 857-2234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4388, LICENSE: OTC5001, NAME: RAPID SOUND, INC, LEGALLY: RAPID SOUND, INC, ADDRESS: 450 WEST CONTINENTAL ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85622, PHONE: (520) 625-7670, FAX: (520) 625-7362, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4391, LICENSE: , NAME: YRMC OUTPATIENT DIAGNOSTIC IMAGING, LEGALLY: YRMC OUTPATIENT DIAGNOSTIC IMAGING, ADDRESS: 1501 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7054, FAX: (928) 336-7337, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4392, LICENSE: , NAME: YRMC CARDIAC AND PULMONARY REHABILITATION, LEGALLY: YRMC CARDIAC AND PULMONARY REHABILITATION, ADDRESS: 1501 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7054, FAX: (928) 336-7337, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4393, LICENSE: OTC4902, NAME: UNITED COMM HEALTH CENTER AT SAHUARTIA HEIGHTS, LEGALLY: UNITED COMMUNITY HEALTH CENTER AT SAHUARITA HEIGHTS, ADDRESS: 2875 EAST SAHUARITA ROAD, CITY: SAHUARITA, STATE: AZ, ZIP: 85629, PHONE: (520) 576-5770, FAX: (520) 407-5990, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0257, LICENSE: H0134, NAME: UNIVERSITY OF ARIZONA MEDICAL CTR-UNIVERSITY, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- UNIVERSITY CAMPUS, THE, ADDRESS: 1501 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-0111, FAX: (520) 694-4085, CAPACITY: 487, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4395, LICENSE: HSPC4987, NAME: INNOVATIVE SENIOR CARE HOSPICE, LEGALLY: ARC THERAPY SERVICES, LLC, ADDRESS: 2555 NORTH PRICE ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 582-1378, FAX: (480) 730-0600, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4397, LICENSE: , NAME: WARMC OUTPATIENT REHABILITATION CENTER, LEGALLY: W.A.R.M.C. OUTPATIENT REHABILITATION CENTER, ADDRESS: 2020 SILVER CREEK ROAD, SUITE A101, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2273, FAX: (928) 704-6785, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4399, LICENSE: HHA4952, NAME: DESERT TRAILS HOME HEALTH, LEGALLY: DESERT TRAILS HOME HEALTH, ADDRESS: 2771 SILVER CREEK ROAD, SUITE 107, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1010, FAX: (928) 444-1011, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4400, LICENSE: OTC4921, NAME: SCNM MEDICAL CENTER, LEGALLY: SCNM MEDICAL CENTER, ADDRESS: 2164 EAST BROADWAY ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 858-9100, FAX: (480) 858-9116, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED4402, LICENSE: OTC4961, NAME: RIGHTWAY HEALTHCARE LLC, LEGALLY: RIGHTWAY HEALTHCARE LLC, ADDRESS: 1864 EAST FLORENCE BOULEVARD, SUITE 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 876-5000, FAX: (520) 876-9693, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4403, LICENSE: , NAME: UNIVERSITY OF AZ MED CTR-UNIVERSITY CAMPUS, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CTR-UNIVERSITY CAMPUS PEDIATRICS ENDO/ANGEL, TH, ADDRESS: 1501 NORTH CAMPBELL AVENUE, SUITE 3324, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 626-0381, FAX: (520) 694-0212, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4404, LICENSE: , NAME: FIT KIDS OF ARIZONA - FLAGSTAFF, LEGALLY: FIT KIDS OF ARIZONA - FLAGSTAFF, ADDRESS: 1000 NORTH HUMPHREYS STREET, SUITES 210 & 212, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3537, FAX: (928) 773-2430, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4405, LICENSE: OTC4901, NAME: BLOSSOM BIRTH CENTER, LEGALLY: BLOSSOM BIRTH CENTER, ADDRESS: 2928 NORTH 18TH PLACE, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 256-7766, FAX: (602) 265-6644, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4406, LICENSE: OTC4981, NAME: NORTH COUNTRY HEALTHCARE - BULLHEAD CITY, LEGALLY: NORTH COUNTRY HEALTHCARE - BULLHEAD CITY, ADDRESS: 2585 MIRACLE MILE SUITE 114, 115 & 116, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 213-6100, FAX: (928) 774-6687, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4410, LICENSE: OTC4915, NAME: MILLENNIUM PHYSICIAN GROUP, LEGALLY: MILLENNIUM PHYSICIAN GROUP, ADDRESS: 1811 EAST MCMURRY BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 374-2090, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4411, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES - PASEO SAN LUIS, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES - PASEO SAN LUIS, ADDRESS: 1590 PASEO SAN LUIS, BUILDING A, SUITE 101, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 220-5711, FAX: (520) 220-5709, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4412, LICENSE: OTC4922, NAME: VALLEY OXIMETRY SLEEP DISORDER CENTER-SCOTTSDALE, LEGALLY: VALLEY OXIMETRY SLEEP DISORDER CENTER-SCOTTSDALE, ADDRESS: 9767 NORTH 91ST STREET, SUITE B104, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 830-3900, FAX: (480) 830-3901, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4413, LICENSE: , NAME: ARIZONA FAMILY CARE ASSOCIATES IMAGING, LLC, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES IMAGING, LLC, ADDRESS: 302 EL CAMINO REAL, SUITE 11F, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-4318, FAX: (520) 417-4279, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0228, LICENSE: H0112, NAME: PHOENIX BAPTIST HOSPITAL, LEGALLY: PHOENIX BAPTIST HOSPITAL, ADDRESS: 2000 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-0212, FAX: (602) 246-5849, CAPACITY: 221, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4414, LICENSE: , NAME: BANNER GOOD SAMARITAN INTERNAL MEDICINE CENTER, LEGALLY: BANNER GOOD SAMARITAN INTERNAL MEDICINE CENTER, ADDRESS: 1300 NORTH 12TH STREET, SUITE 508, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-3927, FAX: (602) 839-4233, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4415, LICENSE: , NAME: DOUGLAS FAMILY HEALTH, LEGALLY: DOUGLAS FAMILY HEALTH, ADDRESS: 1101 NORTH SAN ANTONIO AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 459-8946, FAX: (520) 458-4047, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4417, LICENSE: HHA4951, NAME: PREFERRED HEALTH INC, LEGALLY: PREFERRED HEALTH INC, ADDRESS: 5151 NORTH 16TH STREET, SUITE E226, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 368-3000, FAX: (602) 368-3575, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4419, LICENSE: OTC4964, NAME: ARROWHEAD SLEEP CENTER INC, LEGALLY: ARROWHEAD SLEEP CENTER INC, ADDRESS: 6320 WEST UNION HILLS - BUILDING A #207, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 825-4556, FAX: (623) 362-2238, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4422, LICENSE: HHA4941, NAME: HOME HEALTH OF ARIZONA, LEGALLY: HOME HEALTH OF ARIZONA, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 107, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (406) 541-1800, FAX: (406) 547-2039, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4423, LICENSE: HHA4959, NAME: CARING TOUCH HOME CARE LLC, LEGALLY: CARING TOUCH HOME CARE LLC, ADDRESS: 2692 SOUTH AVENUE B, SUITE 2, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-2188, FAX: (928) 783-2189, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4424, LICENSE: OTC5420, NAME: BROWN HAND CENTER, LEGALLY: BROWN HAND CENTER, ADDRESS: 9377 EAST BELL ROAD, STE 207, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 538-2161, FAX: (480) 585-3361, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-ABC, SUBTYPE: ABORTION CLINIC, ID: MED4426, LICENSE: AC5013, NAME: CAMELBACK FAMILY PLANNING, LEGALLY: CAMELBACK FAMILY PLANNING, ADDRESS: 4141 NORTH 32ND STREET, SUITE #105, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 279-2337, FAX: (602) 230-9025, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-ABC, SUBTYPE: ABORTION CLINIC, ID: MED4429, LICENSE: AC4945, NAME: TUCSON WOMEN'S CENTER, LEGALLY: TUCSON WOMEN'S CENTER, ADDRESS: 5240 EAST KNIGHT, SUITE #112, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 323-9682, FAX: (520) 323-9689, CAPACITY: 0, COUNTY: PIMA TYPE: MED-ABC, SUBTYPE: ABORTION CLINIC, ID: MED4431, LICENSE: AC4944, NAME: FAMILY PLANNING ASSOCIATES MEDICAL GROUP, LEGALLY: FAMILY PLANNING ASSOCIATES MEDICAL GROUP, ADDRESS: 1331 NORTH 7TH STREET, SUITE 225, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 553-0440, FAX: (602) 462-5588, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4433, LICENSE: , NAME: NORTH PEORIA EMERGENCY CENTER A CAMPUS OF ARROWHEA, LEGALLY: NORTH PEORIA EMERGENCY CENTER A CAMPUS OF ARROWHEAD HOSPITAL, ADDRESS: 26900 NORTH LAKE PLEASANT PARKWAY, SUITE 100, CITY: PEORIA, STATE: AZ, ZIP: 85383, PHONE: (623) 561-2022, FAX: (615) 665-6197, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4416, LICENSE: HHA4912, NAME: BRIGHTSTAR OF GLENDALE, LEGALLY: BRIGHTSTAR OF GLENDALE, ADDRESS: 615 WEST DEER VALLEY ROAD, SUITE 123, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 850-0020, FAX: (623) 850-0021, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4430, LICENSE: , NAME: BARIATRIC SURGICAL WEIGHT LOSS CLINIC, LEGALLY: BARIATRIC SURGICAL WEIGHT LOSS CLINIC, ADDRESS: 1050 NORTH SAN FRANCISCO STREET, SUITE B, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3737, FAX: (928) 214-3837, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4434, LICENSE: OTC4918, NAME: BOYD INFUSION CENTER, LEGALLY: BOYD INFUSION CENTER, ADDRESS: 520 ROSE LANE, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-RECOVERY CARE CENTER, SUBTYPE: RECOVERY CARE CENTER, ID: MED2221, LICENSE: RCC3127, NAME: SUMMIT RECOVERY CARE CENTER, LEGALLY: SUMMIT RECOVERY CARE CENTER, ADDRESS: 1485 NORTH TURQUOISE, SUITE 110, CITY: EAST FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3211, FAX: (928) 214-3235, CAPACITY: 8, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4438, LICENSE: OTC4930, NAME: TROYER URGENT CARE, INC, LEGALLY: TROYER URGENT CARE, INC, ADDRESS: 1000 NORTH HUMPHREYS STREET, SUITE 104, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-3844, FAX: (928) 779-3848, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4440, LICENSE: OTC5191, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 37100 NORTH GANTZEL ROAD, SUITE 107, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85140, PHONE: (480) 394-4480, FAX: (480) 394-4521, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4441, LICENSE: OTC4966, NAME: VALLEY OXIMETRY SLEEP DISORDERS CENTER-CHANDLER, LEGALLY: VALLEY OXIMETRY SLEEP DISORDERS CENTER-CHANDLER, ADDRESS: 1120 SOUTH DOBSON ROAD, SUITE B100, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 219-9473, FAX: (480) 247-5391, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4442, LICENSE: OTC5193, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 37100 NORTH GANTZEL ROAD, STE 202, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85140, PHONE: (480) 394-4469, FAX: (480) 394-4520, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4443, LICENSE: HHA4989, NAME: SONORA HOME HEALTH, LEGALLY: SONORA HOME HEALTH, ADDRESS: 4300 NORTH MILLER ROAD, SUITE 232, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (602) 993-1333, FAX: (602) 993-1902, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4444, LICENSE: HHA5105, NAME: ADVISACARE, LEGALLY: ADVISACARE, ADDRESS: 8024 NORTH 24TH AVENUE, SUITE #305, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 242-3800, FAX: (602) 995-6778, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4445, LICENSE: HHA5125, NAME: ADVISACARE HEALTHCARE SOLUTIONS, INC, LEGALLY: ADVISACARE HEALTHCARE SOLUTIONS, INC., ADDRESS: 17 WEST WETMORE, SUITE #102, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 323-2559, FAX: (520) 323-2561, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4446, LICENSE: HSPC5033, NAME: SOREO PATHWAYS LLC, LEGALLY: SOREO PATHWAYS LLC, ADDRESS: 1632 NORTH COUNTRY CLUB ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 547-7000, FAX: (520) 547-7002, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4449, LICENSE: , NAME: NORTHWEST IMAGING, LEGALLY: NORTHWEST IMAGING, ADDRESS: 1980 WEST HOSPITAL DRIVE, SUITE 106, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8960, FAX: (520) 469-8646, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4450, LICENSE: , NAME: NORTHWEST URGENT CARE AT DUVAL MINE ROAD, LEGALLY: NORTHWEST URGENT CARE AT DUVAL MINE ROAD, ADDRESS: 1295 WEST DUVAL MINE ROAD, SUITE 131, CITY: SAHUARITA, STATE: AZ, ZIP: 85614, PHONE: (520) 399-2027, FAX: (520) 625-9508, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4452, LICENSE: OTC4937, NAME: PAYSON HEALTHCARE & PEDIATRICS, LEGALLY: PAYSON HEALTHCARE & PEDIATRICS, ADDRESS: 126 EAST MAIN STREET, SUITE B, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-4675, FAX: (928) 472-3431, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4453, LICENSE: OTC4938, NAME: PAYSON REGIONAL BONE & JOINT, LEGALLY: PAYSON REGIONAL BONE & JOINT, ADDRESS: 126 EAST MAIN STREET, SUITE D, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-5260, FAX: (928) 472-3444, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4455, LICENSE: OTC4935, NAME: ALLERGY, EARS, NOSE & THROAT OF PAYSON, LEGALLY: ALLERGY, EARS, NOSE & THROAT OF PAYSON, ADDRESS: 903 EAST HIGHWAY 260, SUITE 3, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-0500, FAX: (928) 474-3632, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4456, LICENSE: OTC4940, NAME: PAYSON HEALTHCARE SPECIALISTS, LEGALLY: PAYSON HEALTHCARE SPECIALISTS, ADDRESS: 127 EAST MAIN STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-3478, FAX: (928) 468-2062, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4457, LICENSE: OTC4939, NAME: PREFERRED WOMENS CARE, LEGALLY: PREFERRED WOMEN'S CARE, ADDRESS: 120 EAST MAIN STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-9777, FAX: (928) 474-9766, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4458, LICENSE: OTC4990, NAME: VICTORY MOBILE MEDICAL UNIT, LEGALLY: VICTORY MOBILE MEDICAL UNIT, ADDRESS: 2561 WEST RUTHRAUFF ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 293-6386, FAX: (520) 293-1863, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4459, LICENSE: OTC5236, NAME: SONO BELLO BODY CONTOURS CENTER, LEGALLY: SONO BELLO BODY CONTOURS CENTER, ADDRESS: 9377 EAST BELL ROAD, SUITE 155, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 513-2244, FAX: (480) 513-2267, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4460, LICENSE: OTC4933, NAME: ALLIANCE URGENT CARE-BUCKEYE, LEGALLY: ALLIANCE URGENT CARE-BUCKEYE, ADDRESS: 980 SOUTH WATSON ROAD, SUITE 103, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (623) 474-6215, FAX: (480) 830-8012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4461, LICENSE: OTC5491, NAME: CTR FOR ENDOCRINE & PANCREAS SRGY AT SCOTTSDALE HC, LEGALLY: CENTER FOR ENDOCRINE AND PANCREAS SURGERY AT SCOTTSDALE HEALTHCARE, ADDRESS: 10460 NORTH 92ND STREET, SUITE 401, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-1280, FAX: (480) 323-1281, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4462, LICENSE: OTC4975, NAME: ATRINEA HEALTH, LEGALLY: ATRINEA HEALTH, ADDRESS: 1982 WEST MAIN STREET, SUITE 101, 102, 103, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 295-4880, FAX: (480) 295-4881, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4633, LICENSE: HHA0210, NAME: MT GRAHAM REGIONAL MEDICAL CENTER HOME HEALTH SERV, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER HOME HEALTH SERVICES, ADDRESS: 1600 SOUTH 20TH AVENUE, BUILDING E, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-5668, FAX: (928) 348-3868, CAPACITY: 0, COUNTY: GRAHAM TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4463, LICENSE: , NAME: BANNER GOOD SAMARITAN FAMILY MEDICINE, LEGALLY: BANNER GOOD SAMARITAN FAMILY MEDICINE, ADDRESS: 1300 NORTH 12TH STREET, SUITE 605, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 839-2601, FAX: (602) 839-2601, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4471, LICENSE: OTC4955, NAME: VHS ARIZONA HEART INSTITUTE, REHAB, LEGALLY: VHS ARIZONA HEART INSTITUTE, REHAB, ADDRESS: 2632 NORTH 20TH STREET, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 240-6132, FAX: (602) 604-5276, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4370, LICENSE: HSPC4948, NAME: VALLEY OF THE SUN HOSPICE, LLC, LEGALLY: VALLEY OF THE SUN HOSPICE, LLC, ADDRESS: 1501 EAST ORANGEWOOD AVENUE, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 944-1574, FAX: (602) 535-8253, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0235, LICENSE: H0107, NAME: SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER, LEGALLY: SCOTTSDALE HEALTHCARE OSBORN MEDICAL CENTER, ADDRESS: 7400 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4000, FAX: (480) 882-4989, CAPACITY: 340, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4371, LICENSE: HHA4947, NAME: VALLEY OF THE SUN HOME HEALTH CARE, LLC, LEGALLY: VALLEY OF THE SUN HOME HEALTH CARE, LLC, ADDRESS: 1501 EAST ORANGEWOOD AVENUE, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 535-8255, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4475, LICENSE: OTC5151, NAME: UCR HEALTH CENTERS, LEGALLY: UCR HEALTH CENTERS, ADDRESS: 2745 SOUTH ALMA SCHOOL ROAD SUITE 2, CITY: CHANDLER, STATE: AZ, ZIP: 85286, PHONE: (480) 855-7585, FAX: (480) 855-0912, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0261, LICENSE: H0115, NAME: YAVAPAI REGIONAL MEDICAL CENTER, LEGALLY: YAVAPAI REGIONAL MEDICAL CENTER, ADDRESS: 1003 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-2700, FAX: (928) 771-5509, CAPACITY: 134, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4468, LICENSE: OTC5342, NAME: JOHN C LINCOLN CARE FOR WOMEN DEER VALLEY, LEGALLY: JOHN C LINCOLN CARE FOR WOMEN DEER VALLEY, ADDRESS: 19646 NORTH 27TH AVENUE, SUITE 301, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 780-0100, FAX: (623) 492-9160, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4479, LICENSE: OTC5021, NAME: AZ-TECH RADIOLOGY& OPEN MRI- GILBERT, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI-GILBERT, ADDRESS: 4915 EAST BASELINE ROAD, SUITE #116, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 354-9200, FAX: (480) 354-9201, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4478, LICENSE: OTC4991, NAME: FAMILY HEALTH PROVIDERS OF NORTHERN AZ-COTTONWOOD, LEGALLY: FAMILY HEALTH PROVIDERS OF NORTHERN AZ-COTTONWOOD, ADDRESS: 450 SOUTH WILLARD STREET, SUITE 115, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4480, LICENSE: OTC5375, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 10204 WEST HAPPY VALLEY ROAD, SUITE160, CITY: PEORIA, STATE: AZ, ZIP: 85383, PHONE: (623) 327-8800, FAX: (623) 327-8806, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4448, LICENSE: HSPC4985, NAME: REFLECTIONS HOSPICE CARE, LEGALLY: REFLECTIONS HOSPICE CARE, ADDRESS: 1840 EAST UNIVERSITY DRIVE, SUITE 6, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 268-2670, FAX: (480) 268-2671, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4476, LICENSE: OTC5362, NAME: SANTA RITA NURSING AND REHABILITATION CENTER, LEGALLY: SANTA RITA NURSING AND REHABILITATION CENTER, ADDRESS: 170 NORTH LA CANADA DRIVE SUITE 20, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-0178, FAX: (520) 393-1044, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4483, LICENSE: OTC4997, NAME: TOMAR PAIN CENTERS II, PLLC, LEGALLY: TOMAR PAIN CENTERS II, PLLC, ADDRESS: 1055 WEST IRON SPRINGS ROAD, SUITE 101, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 771-2700, FAX: (928) 771-2747, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4488, LICENSE: HSPC5156, NAME: VILLA, THE (031563), LEGALLY: VILLA, THE, ADDRESS: 1103 SOUTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 726-7773, FAX: (480) 726-7790, CAPACITY: 6, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4486, LICENSE: , NAME: WARMC OUTPATIENT REHABILITATION CENTER, LEGALLY: WARMC OUTPATIENT REHABILITATION CENTER, ADDRESS: 2020 SILVER CREEK ROAD, SUITE A120, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2273, FAX: (928) 704-6785, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4464, LICENSE: OTC4970, NAME: WINSLOW INDIAN HEALTH CARE CTR PHYSICAL REHAB, LEGALLY: WINSLOW INDIAN HEALTH CARE CTR PHYSICAL REHAB, ADDRESS: 1527 NORTH PARK DRIVE, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-6179, FAX: (928) 289-3826, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4502, LICENSE: HHA5086, NAME: ARIZONA MEDICAL INFUSION, LEGALLY: ARIZONA MEDICAL INFUSION, ADDRESS: 20650 NORTH 29TH PLACE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 788-3400, FAX: (602) 788-3405, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4495, LICENSE: OTC5155, NAME: AMERICAN DYNAMIC IMAGING LTD, LEGALLY: AMERICAN DYNAMIC IMAGING LTD, ADDRESS: 1110 EAST MISSOURI AVENUE, SUITE 410, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 274-4674, FAX: (602) 274-6060, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4496, LICENSE: OTC5041, NAME: ADELANTE HEALTHCARE - AVONDALE OBGYN, LEGALLY: ADELANTE HEALTHCARE - AVONDALE OGBYN, ADDRESS: 3400 NORTH DYSART ROAD, BUILDING F SUITE 121 & 123, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 792-8344, FAX: (623) 792-8397, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4497, LICENSE: OTC5054, NAME: ACACIA HEALTH CENTER, LEGALLY: ACACIA HEALTH CENTER, ADDRESS: 4555 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 384-5000, FAX: (480) 948-1584, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4500, LICENSE: OTC4999, NAME: SCOTTSDALE HEART GROUP AT SCOTTSDALE HEALTHCARE, LEGALLY: SCOTTSDALE HEART GROUP AT SCOTTSDALE HEALTHCARE, ADDRESS: 10101 NORTH 92ND STREET, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 860-1919, FAX: (480) 292-0033, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4498, LICENSE: , NAME: CENTER FOR DIABETES MANAGEMENT, LEGALLY: CENTER FOR DIABETES MANAGEMENT, ADDRESS: 1760 EAST PECOS ROAD SUITE 235, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 728-3535, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4499, LICENSE: OSC5047, NAME: PREMIER ENDOSCOPY CENTER, LEGALLY: PREMIER ENDOSCOPY CENTER, ADDRESS: 2563 SOUTH VAL VISTA DRIVE SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 305-7603, FAX: (480) 248-3667, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4501, LICENSE: OTC5049, NAME: ULTRASOUND INSTITUTE MEDICAL GROUP, LEGALLY: ULTRASOUND INSTITUTE MEDICAL GROUP, ADDRESS: 4250 E CAMELBACK ROAD, BUILDING K-170, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 354-4333, FAX: (602) 354-8191, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4503, LICENSE: , NAME: WEST VALLEY HOSPITAL WOUND CARE CENTER, LEGALLY: WEST VALLEY HOSPITAL WOUND CARE CENTER, ADDRESS: 13677 WEST MCDOWELL ROAD, SUITE 310, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (621) 867-7232, FAX: (623) 882-1510, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED4385, LICENSE: SH4992, NAME: VALLEY HOSPITAL, LEGALLY: UBH OF PHOENIX, LLC, ADDRESS: 3550 EAST PINCHOT AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 952-3900, FAX: (602) 952-3921, CAPACITY: 122, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4508, LICENSE: OTC5030, NAME: CIGNA CMG CARETODAY-WEST THOMAS, LEGALLY: CIGNA CMG CARETODAY-WEST THOMAS, ADDRESS: 9020 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 277-1131, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4504, LICENSE: OTC5203, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON, SUITE 501, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-7474, FAX: (480) 412-7475, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4505, LICENSE: OTC5019, NAME: AZ-TECH RADIOLOGY & OPEN MRI- APACHE JUNCTION, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 1840 WEST APACHE TRAIL, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85120, PHONE: (480) 288-6400, FAX: (480) 288-4079, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4506, LICENSE: OTC5022, NAME: AZ-TECH RADIOLOGY & OPEN MRI- WOMEN'S CENTER, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 2653 WEST GUADALUPE ROAD, SUITE 100, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 455-1860, FAX: (480) 455-1862, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4507, LICENSE: OTC5023, NAME: AZ-TECH RADIOLOGY & OPEN MRI- AHWATUKEE, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 4530 EAST RAY ROAD, SUITE 160, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 893-1004, FAX: (480) 893-0306, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4509, LICENSE: OTC5025, NAME: AZ-TECH RADIOLOGY & OPEN MRI- OSBORN, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 444 WEST OSBORN ROAD, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 277-4111, FAX: (602) 277-1333, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4511, LICENSE: OTC5024, NAME: AZ-TECH RADIOLOGY & OPEN MRI- MARICOPA, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 21300 NORTH JOHN WAYNE PARKWAY, SUITE #113, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-6411, FAX: (520) 568-6312, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4513, LICENSE: OTC5020, NAME: AZ-TECH RADIOLOGY & OPEN MRI- CASA GRANDE, LEGALLY: AZ-TECH RADIOLOGY & OPEN MRI, ADDRESS: 1669 EAST MURRAY BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 876-0297, FAX: (520) 876-0167, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4514, LICENSE: HHA5096, NAME: DELTA HOME HEALTH CARE, INC, LEGALLY: DELTA HOME HEALTH CARE, INC, ADDRESS: 840 WEST UNIVERSITY DRIVE, SUITE 1, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 656-0257, FAX: (480) 656-0258, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4519, LICENSE: OTC5040, NAME: CIGNA MED GRP ADVANCED IMAGING CT/MRI STE E VALLEY, LEGALLY: CIGNA MEDICAL GROUP ADVANCED IMAGING CT/MRI SUITE - EAST VALLEY, ADDRESS: 1840 SOUTH STAPLEY DRIVE, SUITE 119, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4520, LICENSE: OTC5031, NAME: DIGNITY HEALTH CHILDREN'S DENTAL CLINIC-GALVESTION, LEGALLY: DIGNITY HEALTH CHILDREN'S DENTAL CLINIC-GALVESTION CAMPUS, ADDRESS: 777 EAST GALVESTON STREET, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 782-3000, FAX: (602) 294-5218, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4521, LICENSE: OTC5004, NAME: SCOTTSDALE HEALTHCARE CORPORATE HEALTH SHEA, LEGALLY: SCOTTSDALE HEALTHCARE CORPORATE HEALTH SHEA, ADDRESS: 10200 NORTH 92ND STREET, SUITE #102, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-3818, FAX: (480) 323-3238, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4524, LICENSE: , NAME: KRMC MOUNTAIN VIEW PHYSICAL THERAPY, LEGALLY: KRMC MOUNTAIN VIEW PHYSICAL THERAPY, ADDRESS: 2505 HUALAPAI MOUNTAIN ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 692-4635, FAX: (928) 692-4633, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4525, LICENSE: HHA5050, NAME: APISMELLIS HOMECARE, LLC, LEGALLY: APISMELLIS HOMECARE, LLC, ADDRESS: 500 NORTH LAKE HAVASU AVENUE, SUITE D102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86404, PHONE: (928) 505-6473, FAX: (314) 433-4517, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4526, LICENSE: HHA5051, NAME: APISMELLIS HOMECARE, LLC, LEGALLY: APISMELLIS HOMECARE, LLC, ADDRESS: 1713 KOFA AVENUE, SUITE G, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (314) 845-1705, FAX: (314) 433-4517, CAPACITY: 0, COUNTY: LA PAZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4527, LICENSE: OTC5210, NAME: MEDICAL CLINIC AT SEABHS, THE, LEGALLY: MEDICAL CLINIC AT SEABHS, THE, ADDRESS: 1609 SOUTH 1ST AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-4550, FAX: (520) 586-7138, CAPACITY: 0, COUNTY: GRAHAM TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4529, LICENSE: HHA5139, NAME: ARIZONA PRN, LLC, LEGALLY: ARIZONA PRN, LLC, ADDRESS: 6103 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-8000, FAX: (520) 731-8001, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4523, LICENSE: , NAME: NORTHWEST URGENT CARE AT ORANGE GROVE, LEGALLY: NORTHWEST URGENT CARE AT ORANGE GROVE, ADDRESS: 3870 WEST RIVER ROAD, SUITE 126, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 219-6616, FAX: (520) 742-6187, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4530, LICENSE: OTC5301, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1920 NORTH HIGLEY ROAD, SUITE 308, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-6700, FAX: (480) 543-6733, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4531, LICENSE: OTC5300, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1920 NORTH HIGLEY ROAD, SUITE 206, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-6700, FAX: (480) 543-6725, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4533, LICENSE: OTC5037, NAME: VERDE VALLEY CONNECTIONS PRIMARY CARE, LEGALLY: VERDE VALLEY CONNECTIONS PRIMARY CARE, ADDRESS: 8 EAST COTTONWOOD STREET, BUILDING C, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-2236, FAX: (928) 634-8960, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4534, LICENSE: OTC5159, NAME: DEARING FAMILY MEDICINE, LEGALLY: DEARING FAMILY MEDICINE, ADDRESS: 19841 NORTH 27TH AVENUE, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 780-3751, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4536, LICENSE: OTC5038, NAME: EZ SLEEP LAB- CROSSINGS, LEGALLY: EZ SLEEP LAB- CROSSINGS, ADDRESS: 3777 CROSSINGS DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 778-2644, FAX: (928) 708-0505, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0201, LICENSE: H0169, NAME: FLAGSTAFF MEDICAL CENTER, LEGALLY: FLAGSTAFF MEDICAL CENTER, ADDRESS: 1200 NORTH BEAVER STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2009, FAX: (928) 773-2315, CAPACITY: 267, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED4071, LICENSE: SH4706, NAME: HEALTHSOUTH EAST VALLEY REHABILITATION HOSPITAL, LEGALLY: HEALTHSOUTH EAST VALLEY REHABILITATION HOSPITAL, ADDRESS: 5652 EAST BASELINE ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 567-0350, FAX: (480) 567-0351, CAPACITY: 60, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4539, LICENSE: OTC5088, NAME: ARIZONA MOBILE IMAGING, LLC, LEGALLY: ARIZONA MOBILE IMAGING, LLC, ADDRESS: 2655 WEST GUADALUPE ROAD, SUITE #22, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 491-2224, FAX: (480) 491-5584, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4541, LICENSE: OTC5062, NAME: CIGNA QUEEN CREEK MEDICAL OFFICE, LEGALLY: CIGNA QUEEN CREEK MEDICAL OFFICE, ADDRESS: 36305 NORTH GANTZEL ROAD, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85140, PHONE: (602) 371-2964, FAX: (602) 906-2789, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3174, LICENSE: H3864, NAME: VALLEY VIEW MEDICAL CENTER, LEGALLY: VALLEY VIEW MEDICAL CENTER, ADDRESS: 5330 SOUTH HIGHWAY 95, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-2273, FAX: (928) 788-7828, CAPACITY: 90, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4535, LICENSE: SH5128, NAME: OASIS HOSPITAL, LEGALLY: O.A.S.I.S. HOSPITAL, ADDRESS: 750 NORTH 40TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 797-7700, FAX: (602) 797-7885, CAPACITY: 64, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4543, LICENSE: HSPC5120, NAME: NEW HOPE HOSPICE OF BULLHEAD CITY, INC, LEGALLY: NEW HOPE HOSPICE OF BULLHEAD CITY, INC., ADDRESS: 3550 NORTH LANE, SUITE 102,104,106 &108, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (314) 652-7000, FAX: (928) 444-8122, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED4545, LICENSE: OSC5285, NAME: TEMPE NEW DAY SURGERY CENTER, LEGALLY: TEMPE NEW DAY SURGERY CENTER, L.P., ADDRESS: 2000 EAST SOUTHERN, SUITE 106, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 838-9313, FAX: (480) 491-8802, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4547, LICENSE: OTC5073, NAME: EV PAIN SOLUTIONS, LLC, LEGALLY: EV PAIN SOLUTIONS, LLC, ADDRESS: 18610 EAST RITTENHOUSE, BUILDING A, SUITE 101, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85142, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0193, LICENSE: H2530, NAME: WHITE MOUNTAIN REGIONAL MEDICAL CENTER, LEGALLY: WHITE MOUNTAIN REGIONAL MEDICAL CENTER, ADDRESS: 118 SOUTH MOUNTAIN AVENUE, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-4368, FAX: (928) 333-4369, CAPACITY: 25, COUNTY: APACHE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4492, LICENSE: HHA5018, NAME: A-Z HOME CARE OPTIONS, LEGALLY: A-Z HOME CARE OPTIONS, ADDRESS: 4745 NORTH 7TH STREET, SUITE #108, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 604-0900, FAX: (602) 604-0903, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4557, LICENSE: OTC5305, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1515 NORTH 9TH STREET, SUITE D, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 252-6855, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4560, LICENSE: HHA5075, NAME: PHOENIX VALLEY HOME HEALTH CARE, LEGALLY: PHOENIX VALLEY HOME HEALTH CARE, ADDRESS: 428 SOUTH GILBERT ROAD, SUITE K, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (443) 224-8366, FAX: (480) 219-0386, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4556, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER- OUTPATIENT REHAB, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER- OUTPATIENT REHAB, SUITE 103, ADDRESS: 14418 WEST MEEKER BLVD, BUILDING B, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4038, FAX: (623) 975-8350, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4561, LICENSE: , NAME: SLEEP CENTERS AT ORO VALLEY HOSPITAL- ORANGE, THE, LEGALLY: SLEEP CENTERS AT ORO VALLEY HOSPITAL- ORANGE GROVE, THE, ADDRESS: 6350 NORTH CAMINO DE LA TIERRA SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 219-8119, FAX: (520) 219-8171, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4562, LICENSE: , NAME: SLEEP CENTERS AT ORO VALLEY HOSPITAL-ORO VAL, THE, LEGALLY: SLEEP CENTERS AT ORO VALLEY HOSPITAL- ORO VALLEY, THE, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 269, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 901-6212, FAX: (520) 901-6249, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4564, LICENSE: , NAME: JOHN C LINCOLN DEER VALLEY HOSPITAL CARDIAC REHAB, LEGALLY: JOHN C LINCOLN DEER VALLEY HOSPITAL CARDIAC REHAB CENTER, ADDRESS: 19636 NORTH 27TH AVENUE, SUITE LL4, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 879-5445, FAX: (623) 879-5400, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4563, LICENSE: , NAME: WICKENBURG COMMUNITY HOSPITAL- BAGDAD, LEGALLY: WICKENBURG COMMUNITY HOSPITAL- BAGDAD, ADDRESS: 700 PALO VERDE ROAD, CITY: BAGDAD, STATE: AZ, ZIP: 86321, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4565, LICENSE: HHA5100, NAME: SPECTRUM HOME HEALTHCARE LLC, LEGALLY: SPECTRUM HOME HEALTHCARE LLC, ADDRESS: 16427 NORTH SCOTTSDALE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 429-2825, FAX: (480) 423-6993, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4566, LICENSE: OTC5103, NAME: KYRENE URGENT CARE, LEGALLY: KYRENE URGENT CARE, ADDRESS: 40 SOUTH KYRENE, SUITE 3, CITY: CHANDLER, STATE: AZ, ZIP: 85226, PHONE: (480) 361-6609, FAX: (480) 284-5844, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4567, LICENSE: HHA5101, NAME: DESERT SUN HOME HEALTH, LEGALLY: DESERT SUN HOME HEALTH, ADDRESS: 4150 NORTH 108 AVENUE, SUITE 138, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 271-9755, FAX: (623) 271-9756, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4569, LICENSE: OTC5052, NAME: GOOD NIGHT SLEEP WELLNESS CENTER, LEGALLY: GOOD NIGHT SLEEP WELLNESS CENTER, ADDRESS: 428 SOUTH GILBERT ROAD, SUITE 114, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 219-6636, FAX: (480) 219-7686, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4570, LICENSE: HHA5093, NAME: WELLSTREET HOME THERAPY & MEDICAL SERVICES, LLC, LEGALLY: WELLSTREET HOME THERAPY & MEDICAL SERVICES, LLC, ADDRESS: 16626 EAST AVENUE OF THE FOUNTAINS, SUITE 102, CITY: FOUNTAIN HILLS, STATE: AZ, ZIP: 85268, PHONE: (480) 836-2240, FAX: (480) 836-2217, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4571, LICENSE: HSPC5084, NAME: COMPREHENSIVE HOSPICE AND PALLIATIVE CARE, LLC, LEGALLY: COMPREHENSIVE HOSPICE AND PALLIATIVE CARE, LLC, ADDRESS: 2111 EAST HIGHLAND AVENUE, SUITE B-425, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (480) 706-0174, FAX: (480) 706-0117, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4572, LICENSE: OTC5081, NAME: PHOENIX CHILDREN'S HOSPITAL-UMOM WELLNESS CENTER, LEGALLY: PHOENIX CHILDREN'S HOSPITAL-UMOM WELLNESS CENTER, ADDRESS: 3333 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 651-1862, FAX: (602) 651-1888, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4573, LICENSE: OTC5076, NAME: SOUTHWOOD PEDIATRIC THERAPY CENTER, LEGALLY: SOUTHWOOD PEDIATRIC THERAPY CENTER, ADDRESS: 44480 W HONEYCUTT AVENUE, SUITE #106, CITY: MARICOPA, STATE: AZ, ZIP: 85138, PHONE: (520) 582-0142, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4574, LICENSE: OTC5169, NAME: AMERICAN MEDICAL COLLEGE OF HOMEOPATHY, LEGALLY: AMERICAN MEDICAL COLLEGE OF HOMEOPATHY, ADDRESS: 1951 WEST CAMELBACK ROAD, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 347-7950, FAX: (602) 864-2940, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4576, LICENSE: OTC5097, NAME: ENCOMPASS MEDICAL CENTER, LEGALLY: ENCOMPASS MEDICAL CENTER, ADDRESS: 463 S LAKE POWELL BOULEVARD, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-5113, FAX: (928) 645-3254, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4575, LICENSE: OTC5087, NAME: JOHN C LINCOLN DEL LAGO FAMILY MEDICINE, LEGALLY: JOHN C LINCOLN DEL LAGO FAMILY MEDICINE, ADDRESS: 20470 N LAKE PLEASANT ROAD SUITE 110, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 266-4699, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3279, LICENSE: SH5048, NAME: PROMISE HOSPITAL OF PHOENIX, INC, LEGALLY: PROMISE HOSPITAL OF PHOENIX, INC, ADDRESS: 433 EAST 6TH STREET, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 427-3000, FAX: (480) 427-3031, CAPACITY: 48, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3795, LICENSE: H4476, NAME: ARIZONA REGIONAL MEDICAL CENTER, LEGALLY: ARIZONA REGIONAL MEDICAL CENTER, ADDRESS: 515 NORTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 898-3333, FAX: (480) 464-6063, CAPACITY: 84, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4577, LICENSE: OTC5110, NAME: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, LEGALLY: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 299, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (602) 839-2606, FAX: (602) 839-4123, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4578, LICENSE: , NAME: WEST VALLEY EMERGENCY CENTER, LEGALLY: WEST VALLEY EMERGENCY CENTER, ADDRESS: 525 SOUTH WATSON ROAD, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (623) 882-1505, FAX: (623) 882-1510, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4580, LICENSE: OTC5127, NAME: WE CARE CLINIC, LLC, LEGALLY: WE CARE CLINIC, LLC, ADDRESS: 13460 NORTH 94TH DRIVE, SUITE K-1, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 972-8728, FAX: (623) 972-0117, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4528, LICENSE: HHA5059, NAME: A-Z HOME CARE OPTIONS, LEGALLY: A-Z HOME CARE OPTIONS, ADDRESS: 3906 WEST INA ROAD, SUITE #200, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 495-0257, FAX: (520) 495-0304, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4585, LICENSE: OTC5587, NAME: BANNER OCCUPATIONAL HEALTH CLINIC, LEGALLY: BANNER OCCUPATIONAL HEALTH CLINIC, ADDRESS: 2225 WEST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (602) 747-8069, FAX: (480) 412-6469, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4581, LICENSE: OTC5147, NAME: ARIZONA ADVANCED SURGERY CENTER, LLC, LEGALLY: ARIZONA ADVANCED SURGERY CENTER, LLC, ADDRESS: 1701 EAST THOMAS ROAD, SUITE 202, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (480) 874-2229, FAX: (480) 874-2231, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4582, LICENSE: OTC5080, NAME: LAVEEN URGENT CARE, LEGALLY: LAVEEN URGENT CARE, ADDRESS: 5045 WEST BASELINE SUITE 110, CITY: LAVEEN, STATE: AZ, ZIP: 85339, PHONE: (602) 237-7373, FAX: (602) 237-7977, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4584, LICENSE: OTC5074, NAME: MT HLTH & WELLNESS OF APACHE JUNCTION ON BROADWAY, LEGALLY: MOUNTAIN HEALTH & WELLNESS OF APACHE JUNCTION ON BROADWAY, ADDRESS: 477 EAST BROADWAY ROAD, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85119, PHONE: (480) 983-0065, FAX: (480) 288-5339, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4588, LICENSE: OTC5138, NAME: WOMEN'S BIRTH & WELLNESS CENTER, LEGALLY: WOMEN'S BIRTH & WELLNESS CENTER, ADDRESS: 504 WEST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 833-6582, FAX: (480) 890-7467, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4587, LICENSE: OTC5338, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 2730 SOUTH VAL VISTA DRIVE, SUITE 152, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 222-7664, FAX: (480) 222-7666, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4590, LICENSE: OTC5079, NAME: ADVANCED URGENT CARE - BELL, LEGALLY: ADVANCED URGENT CARE - BELL, ADDRESS: 401 EAST BELL ROAD, SUITE #18, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 368-1403, FAX: (602) 368-1413, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-HOSPITAL, SUBTYPE: SPECIAL HOSPITAL, ID: MED1576, LICENSE: SH3764, NAME: SIERRA TUCSON, INC, LEGALLY: SIERRA TUCSON INC, ADDRESS: 39580 SOUTH LAGO DEL ORO PARKWAY, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 624-4000, FAX: (520) 823-3523, CAPACITY: 15, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4592, LICENSE: OTC5137, NAME: NEW RIVER FAMILY MEDICINE, LEGALLY: NEW RIVER FAMILY MEDICINE, ADDRESS: 46641 NORTH BLACK CANYON HIGHWAY, SUITE 5, CITY: NEW RIVER, STATE: AZ, ZIP: 85087, PHONE: (623) 465-8810, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4595, LICENSE: HHA5140, NAME: LA PALOMA HOMECARE, LLC, LEGALLY: LA PALOMA HOMECARE, LLC, ADDRESS: 12470 NORTH RANCHO VISTOSO BLVD, SUITE 150, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 544-4663, FAX: (520) 544-4111, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4596, LICENSE: OTC5130, NAME: VALLE DEL SOL URGENT CARE, LLC, LEGALLY: VALLE DEL SOL URGENT CARE, LLC, ADDRESS: 4338 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 385-7900, FAX: (623) 792-1232, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4598, LICENSE: OTC5365, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1300 NORTH 12TH STREET, SUITE 312, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 279-5055, FAX: (602) 279-5155, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4599, LICENSE: OTC5353, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 2600 EAST SOUTHERN AVENUE, SUITE B-2, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 730-5100, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4600, LICENSE: OTC5354, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 4444 NORTH 32ND STREET, SUITE 220, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 747-7026, FAX: (602) 957-1997, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4602, LICENSE: OTC5132, NAME: BEATITUDES CAMPUS OUTPATIENT REHAB TREATMENT CENTE, LEGALLY: BEATITUDES CAMPUS OUTPATIENT REHABILITATION TREATMENT CENTER, ADDRESS: 1668 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-6110, FAX: (602) 995-0704, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4612, LICENSE: HSPC5157, NAME: HOSPICE OF ARIZONA LLC GREENFIELD HOUSE, LEGALLY: HOSPICE OF ARIZONA LLC GREENFIELD HOUSE, ADDRESS: 1132 SOUTH OAKLAND AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85026, PHONE: (602) 678-1313, FAX: (602) 242-2178, CAPACITY: 14, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4604, LICENSE: OTC5150, NAME: DOCTORS EXPRESS URGENT CARE, LEGALLY: DOCTORS EXPRESS URGENT CARE, ADDRESS: 3931 EAST CAMELBACK ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (877) 474-9379, FAX: (480) 248-6261, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4606, LICENSE: OTC5148, NAME: SUN VALLEY FAMILY MEDICINE, LEGALLY: SUN VALLEY FAMILY MEDICINE, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 202, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 248-0123, FAX: (602) 248-8506, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4609, LICENSE: OSC5174, NAME: SANTAN SURGERY CENTER, LEGALLY: SANTAN SURGERY CENTER, ADDRESS: 1704 EAST BOSTON STREET, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 656-8600, FAX: (480) 656-8601, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4610, LICENSE: , NAME: UNIVERSITY OF AZ MEDICAL CTR- ORANGE GROVE, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- ORANGE GROVE CAMPUS, THE, ADDRESS: 1891 WEST ORANGE GROVE ROAD, BUILDING 2, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-8900, FAX: (520) 694-8996, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4616, LICENSE: HSPC5172, NAME: GERINET HEALTHCARE, LEGALLY: GERINET HEALTHCARE, ADDRESS: 2100 NORTH WILMOT ROAD, SUITE 208, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 300-9337, FAX: (520) 829-4428, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4605, LICENSE: OTC5122, NAME: STI PHYSICAL THERAPY AND REHABILITATION- EAST MESA, LEGALLY: STI PHYSICAL THERAPY AND REHABILITATION- EAST MESA, ADDRESS: 5845 EAST STILL CIRCLE, SUITE 109, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4617, LICENSE: HSPC5262, NAME: QUALITY HOSPICE CARE, LEGALLY: QUALITY SOLACE SERVICES, ADDRESS: 1500 EAST BETHANY HOME ROAD, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 266-2203, FAX: (602) 266-2215, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4619, LICENSE: HHA5164, NAME: ELITE HOME HEALTH SERVICES, LLC, LEGALLY: ELITE HOME HEALTH SERVICES, LLC, ADDRESS: 2140 WEST GREENWAY ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 626-8462, FAX: (602) 626-5746, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4613, LICENSE: OTC5116, NAME: MOUNTAIN HEALTH & WELLNESS OF APACHE JUNCTION, LEGALLY: MOUNTAIN HEALTH & WELLNESS OF APACHE JUNCTION, ADDRESS: 625 NORTH PLAZA DRIVE, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85120, PHONE: (480) 983-0065, FAX: (480) 288-5339, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4614, LICENSE: , NAME: SJMG CHANDLER, LEGALLY: SJMG CHANDLER, ADDRESS: 1727 WEST FRYE ROAD, SUITE 200, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 728-2222, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4615, LICENSE: OTC5158, NAME: CALAVAR FAMILY MEDICINE, LEGALLY: CALAVAR FAMILY MEDICINE, ADDRESS: 3525 WEST CALAVAR ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 938-8150, FAX: (602) 938-9277, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4512, LICENSE: OTC5111, NAME: 15TH STREET PEDIATRIC CENTER OF EXCELLENCE, LEGALLY: 15TH STREET PEDIATRIC CENTER OF EXCELLENCE, ADDRESS: 815 15TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-5437, FAX: (520) 364-4261, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4579, LICENSE: HSPC5117, NAME: A SERVANT'S HEART HOSPICE, LEGALLY: A SERVANT'S HEART HOSPICE, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, SUITE 155, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 777-5117, FAX: (480) 304-3155, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4622, LICENSE: HHA5168, NAME: ALL CARE INTEGRATED HEALTH SERVICES PLLC, LEGALLY: ALL CARE INTEGRATED HEALTH SERVICES PLLC, ADDRESS: 3420 EAST SHEA BOULEVARD, SUITE 250, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 953-5115, FAX: (602) 391-2031, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4618, LICENSE: OTC5223, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 5757 WEST THUNDERBIRD ROAD, STE W310, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-4011, FAX: (602) 865-6100, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4620, LICENSE: OTC5153, NAME: VALLE DEL SOL, LEGALLY: VALLE DEL SOL, ADDRESS: 1209 SOUTH 1ST AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 258-6797, FAX: (602) 248-8113, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4608, LICENSE: , NAME: CARONDELET HEART AND VASCULAR IMAGING, LEGALLY: CARONDELET HEART AND VASCULAR IMAGING, ADDRESS: 6567 EAST CARONDELET DRIVE, SUITE 225, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-3000, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4623, LICENSE: OTC5160, NAME: NOAH-BALSZ HEALTH CENTER, LEGALLY: NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, ADDRESS: 1300 NORTH 48TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 845-4200, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4625, LICENSE: , NAME: VALLEY VIEW WOUND CARE & HYPERBARIC CENTER, LEGALLY: VALLEY VIEW WOUND CARE & HYPERBARIC CENTER, ADDRESS: 1520 HAMMER LANE, SUITE #5, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-4944, FAX: (928) 788-4949, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4626, LICENSE: OTC5136, NAME: REGENERATE NEUROPATHY CENTERS, LEGALLY: REGENERATE NEUROPATHY CENTERS, ADDRESS: 920 EAST HARWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (480) 525-6132, FAX: (480) 525-6134, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2125, LICENSE: H3003, NAME: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, LEGALLY: ST. JOSEPHS HOSPITAL AND MEDICAL CENTER, ADDRESS: 350 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3000, FAX: (602) 406-7143, CAPACITY: 607, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED4628, LICENSE: OTC5134, NAME: UNITED COMMUNITY HEALTH CENTER AT AMADO, LEGALLY: UNITED COMMUNITY HEALTH CENTER AT AMADO, ADDRESS: 28720 SOUTH NOGALES HIGHWAY, CITY: AMADO, STATE: AZ, ZIP: 85645, PHONE: (520) 407-5510, FAX: (520) 407-5990, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4938, LICENSE: H4884, NAME: FLORENCE COMMUNITY HEALTHCARE, LEGALLY: FLORENCE HOSPITAL, LLC, ADDRESS: 450 WEST ADAMSVILLE ROAD, CITY: FLORENCE, STATE: AZ, ZIP: 85132, PHONE: (520) 868-3000, FAX: (520) 868-3329, CAPACITY: 23, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4629, LICENSE: HHA5246, NAME: PVAA HEALTHCARE SERVICES INC, LEGALLY: PVAA HEALTHCARE SERUV, ADDRESS: 5315 EAST BROADWAY BOULEVARD, SUITE 208B, CITY: TUCSON, STATE: AZ, ZIP: 85756, PHONE: (520) 309-1222, FAX: (267) 381-7246, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4631, LICENSE: OTC5177, NAME: SQUAW PEAK FAMILY MEDICINE, LEGALLY: SQUAW PEAK FAMILY MEDICINE, ADDRESS: 9327 NORTH 3RD STREET, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 371-4945, FAX: (602) 371-0050, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4632, LICENSE: , NAME: NORTHWEST BALANCE THERAPY CENTER, LEGALLY: NORTHWEST BALANCE THERAPY CENTER, ADDRESS: 6021 NORTH ORACLE ROAD SUITE 107, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 219-8447, FAX: (520) 219-8437, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED4635, LICENSE: OTC5263, NAME: DSI FLAGSTAFF DIALYSIS, LEGALLY: DSI FLAGSTAFF DIALYSIS, ADDRESS: 2268 NORTH WALGREENS STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 556-5500, FAX: (928) 556-5501, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4681, LICENSE: HHA5197, NAME: PRIVATE NURSING INC, LEGALLY: PRIVATE NURSING INC, ADDRESS: 2421 EAST SOUTHERN AVENUE, SUITE 5, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 755-8888, FAX: (480) 730-9797, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0223, LICENSE: H3673, NAME: MARICOPA MEDICAL CENTER, LEGALLY: MARICOPA COUNTY, ADDRESS: 2601 EAST ROOSEVELT STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 344-5011, FAX: (602) 344-5190, CAPACITY: 522, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4636, LICENSE: OTC5379, NAME: CHRIST CARES CLINIC, INC, LEGALLY: CHRIST CARES CLINIC, INC, ADDRESS: 4018 NORTH 40TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 955-0617, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4638, LICENSE: , NAME: BANNER MD ANDERSON CANCER CENTER, LEGALLY: BANNER MD ANDERSON CANCER CENTER, ADDRESS: 2946 EAST BANNER GATEWAY DRIVE, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 856-6444, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4643, LICENSE: , NAME: DISEASE MANAGEMENT CLINIC, LEGALLY: DISEASE MANAGEMENT CLINIC, ADDRESS: 77 WEST FOREST AVENUE, SUITE 202, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4645, LICENSE: OTC5167, NAME: CAREATC - QT PHOENIX, LEGALLY: CAREATC - QT PHOENIX, ADDRESS: 3201 WEST PEORIA SUITE D707, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 354-8311, FAX: (602) 354-8371, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4646, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIAT, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIATRIC UROLOGY- SCOTTSDALE, ADDRESS: 9003 EAST SHEA BOULEVARD, KIDZ CLINIC A115, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (602) 279-1697, FAX: (602) 264-0461, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4647, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIAT, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIATRIC UROLOGY - PHOENIX, ADDRESS: 1920 EAST CAMBRIDGE AVENUE, SUITE 302, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 279-1697, FAX: (602) 264-0461, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4648, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIAT, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIATRIC UROLOGY - GLENDALE, ADDRESS: 5605 WEST EUGIE AVENUE, SUITE 210, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 279-1697, FAX: (602) 298-1711, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4650, LICENSE: OTC5166, NAME: PASSPORT HEALTH-TUCSON, LEGALLY: PASSPORT HEALTH-TUCSON, ADDRESS: 6867 NORTH ORACLE ROAD, SUITE 125, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 284-3006, FAX: (480) 345-6800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4651, LICENSE: OTC5162, NAME: PASSPORT HEALTH-FLAGSTAFF, LEGALLY: PASSPORT HEALTH-FLAGSTAFF, ADDRESS: 1116 EAST ROUTE 66, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4657, LICENSE: OTC5284, NAME: COPE COMMUNITY SERVICES, INC, LEGALLY: COPE COMMUNITY SERVICES, INC, ADDRESS: 2435 NORTH CASTRO AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 622-8030, FAX: (520) 622-8012, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4658, LICENSE: OSC5217, NAME: AZ WEST ENDOSCOPY CENTER, LLC, LEGALLY: AZ WEST ENDOSCOPY CENTER, LLC, ADDRESS: 1850 NORTH 95TH AVENUE SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 594-4060, FAX: (623) 594-8736, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4659, LICENSE: OTC5351, NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIAT, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIATRIC UROLOGY- YUMA, ADDRESS: 1501 WEST 24TH STREET, SUITE 203, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (602) 279-1697, FAX: (602) 264-0461, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4660, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIAT, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SPECIALTY CARE- PEDIATRIC UROLOGY- MESA, ADDRESS: 1432 SOUTH DOBSON ROAD SUITE 401, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (602) 279-1697, FAX: (602) 264-0461, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4661, LICENSE: , NAME: UNIVERSITY OF ARIZONA MED CTR- ALVERNON SPEC, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER - ALVERNON SPECIALTY CLINIC, THE, ADDRESS: 707 NORTH ALVERNON WAY SUITE 201, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 874-2000, FAX: (520) 874-4042, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4662, LICENSE: OTC5199, NAME: JOHN C LINCOLN FAMILY MEDICINE AND WELLNESS CENTER, LEGALLY: JOHN C. LINCOLN FAMILY MEDICINE AND WELLNESS CENTER, ADDRESS: 6320 W UNION HILLS DRIVE SUITE B2300, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 780-3751, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4663, LICENSE: HHA5211, NAME: BEECH HOME CARE AND MEDICAL INC, LEGALLY: BEECH HOME CARE AND MEDICAL INC, ADDRESS: 1837 SOUTH MESA DRIVE A202, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 461-9370, FAX: (480) 461-9383, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4664, LICENSE: OTC4229, NAME: OPT OUT PATIENT THERAPY, LEGALLY: OPT OUT PATIENT THERAPY, ADDRESS: 10325 EAST RIGGS ROAD, SUITE #102, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 802-7081, FAX: (480) 802-8492, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2863, LICENSE: H3577, NAME: UNIVERSITY OF ARIZONA MEDICAL CTR- SOUTH CAM, THE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CENTER- SOUTH CAMPUS, THE, ADDRESS: 2800 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 294-4471, FAX: (520) 741-4042, CAPACITY: 245, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4666, LICENSE: HSPC5171, NAME: SEASONS HOSPICE OF ARIZONA LLC, LEGALLY: SEASONS HOSPICE OF ARIZONA LLC, ADDRESS: 2020 NORTH CENTRAL AVENUE, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 343-1805, FAX: (602) 283-1450, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4667, LICENSE: OTC5216, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 408, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-7486, FAX: (480) 412-7476, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4671, LICENSE: HHA5230, NAME: BAYADA HOME HEALTH CARE INC, LEGALLY: BAYADA NURSES INC, ADDRESS: 4226 AVENIDA COCHISE, SUITE 10, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-5300, FAX: , CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4673, LICENSE: OTC5413, NAME: AMDX-PHOENIX SLEEP, LEGALLY: AMDX-PHOENIX SLEEP, ADDRESS: 2423 WEST DUNLAP AVENUE, #175, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 424-4450, FAX: (602) 445-7342, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4674, LICENSE: , NAME: SJMG PEORIA NORTH, LEGALLY: SJMG PEORIA NORTH, ADDRESS: 7727 WEST DEER VALLEY ROAD, SUITE 210, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (602) 406-1200, FAX: (602) 406-1212, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4676, LICENSE: OTC5261, NAME: SCOTTSDALE HC OPT-TOWN CTR MEDICAL PLAZA, LEGALLY: SCOTTSDALE HC OUTPATIENT PHYSICAL THERAPY-TOWN CENTER MEDICAL PLAZA, ADDRESS: 7301 EAST 2ND STREET, SUITE #90, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-6165, FAX: (480) 882-6166, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED4559, LICENSE: HSPC5170, NAME: MESA VIEW HOSPICE LLC, LEGALLY: MESA VIEW HOSPICE LLC, ADDRESS: 4072 EAST FARM ROAD, CITY: LITTLEFIELD, STATE: AZ, ZIP: 86432, PHONE: (928) 347-4567, FAX: (702) 346-3086, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4682, LICENSE: HHA5367, NAME: ATLANTIS HOMECARE INC, LEGALLY: ATLANTIS HOMECARE INC, ADDRESS: 2651 WEST GUADALUPE ROAD, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 717-9878, FAX: (602) 357-4984, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0244, LICENSE: H4027, NAME: HAVASU REGIONAL MEDICAL CENTER, LEGALLY: HAVASU REGIONAL MEDICAL CENTER, ADDRESS: 101 CIVIC CENTER LANE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 162, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4683, LICENSE: OTC5198, NAME: YUMA REGIONAL CANCER CENTER, LEGALLY: YUMA REGIONAL CANCER CENTER, ADDRESS: 1320 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85366, PHONE: (928) 336-7054, FAX: (928) 336-7337, CAPACITY: 0, COUNTY: YUMA TYPE: MED-ABC, SUBTYPE: ABORTION CLINIC, ID: MED4686, LICENSE: AC5311, NAME: A WOMAN'S CHOICE, LEGALLY: A WOMAN'S CHOICE, ADDRESS: 1526 WEST GLENDALE AVENUE, SUITE 109, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 266-7330, FAX: (602) 234-1933, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4684, LICENSE: OTC5208, NAME: SOJOURNER CENTER - HOPE CAMPUS HEALTH CLINIC, LEGALLY: SOJOURNER CENTER - HOPE CAMPUS HEALTH CLINIC, ADDRESS: PO BOX 20156, CITY: PHOENIX, STATE: AZ, ZIP: 85036, PHONE: (602) 244-0997, FAX: (602) 244-8006, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4685, LICENSE: , NAME: HAVASU REGIONAL MEDICAL CENTER- WOUND CARE CENTER, LEGALLY: HAVASU REGIONAL MEDICAL CENTER- WOUND CARE CENTER, ADDRESS: 1851 MESQUITE AVE SUITE 102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4689, LICENSE: OTC5222, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1432 SOUTH DOBSON ROAD, STE 506, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-6430, FAX: (480) 412-6438, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0219, LICENSE: H0016, NAME: BANNER GOOD SAMARITAN MEDICAL CENTER, LEGALLY: BANNER GOOD SAMARITAN MEDICAL CENTER, ADDRESS: 1111 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-2000, FAX: (602) 239-3749, CAPACITY: 668, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4690, LICENSE: OTC5180, NAME: FAMILY HLTH PROVIDERS OF NORTHERN AZ-WEST SEDONA, LEGALLY: FAMILY HLTH PROVIDERS OF NORTHERN AZ-WEST SEDONA, ADDRESS: 3700 WEST HIGHWAY 89A, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 773-2569, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4691, LICENSE: OTC5233, NAME: ALLIANCE URGENT CARE - PHOENIX, LEGALLY: ALLIANCE URGENT CARE - PHOENIX, ADDRESS: 702 WEST CAMELBACK ROAD, SUITE 20, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (623) 845-5950, FAX: (480) 830-8012, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4692, LICENSE: , NAME: MEADVIEW MEDICAL SERVICES, LEGALLY: MEADVIEW MEDICAL SERVICES, ADDRESS: 330 EAST MEADVIEW BOULEVARD, SUITE F, CITY: MEADVIEW, STATE: AZ, ZIP: 86444, PHONE: (928) 757-0609, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4693, LICENSE: HSPC5239, NAME: ARROWHEAD HOSPICE CENTERS, LEGALLY: ARROWHEAD HOSPICE CENTERS, ADDRESS: 17035 NORTH 67TH AVENUE, SUITE 8, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 236-3949, FAX: (623) 236-3949, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4639, LICENSE: HHA5175, NAME: BRIGHTSTAR CARE OF PHOENIX, LEGALLY: BRIGHTSTAR CARE OF PHOENIX, ADDRESS: 1702 EAST HIGHLAND AVENUE, SUITE 404, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 535-4737, FAX: (602) 595-3116, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3557, LICENSE: H4237, NAME: BANNER GATEWAY MEDICAL CENTER, LEGALLY: BANNER GATEWAY MEDICAL CENTER, ADDRESS: 1900 NORTH HIGLEY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-2000, FAX: , CAPACITY: 177, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4694, LICENSE: HHA5306, NAME: SELECT HOME CARE LLC, LEGALLY: SELECT HOME CARE LLC, ADDRESS: 17151 WEST STATLER STREET, CITY: SURPRISE, STATE: AZ, ZIP: 85388, PHONE: (623) 256-0577, FAX: (623) 218-6844, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4695, LICENSE: HHA5237, NAME: CAREMINDERS HOME CARE, LEGALLY: CAREMINDERS HOME CARE, ADDRESS: 8989 EAST VIA LINDA, SUITE 215, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 219-3369, FAX: (480) 219-5037, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4713, LICENSE: HSPC5232, NAME: HOSPICE SANCTUARY, LEGALLY: HOSPICE SANCTUARY, ADDRESS: 14201 NORTH 87TH STREET, SUITE D-145A, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (602) 633-6100, FAX: (602) 633-6111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4696, LICENSE: OTC5242, NAME: GOOD NIGHT PEDIATRICS- CENTRAL PHOENIX, LEGALLY: GOOD NIGHT PEDIATRICS- CENTRAL PHOENIX, ADDRESS: 3600 NORTH 3RD AVENUE SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 476-0800, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4697, LICENSE: OSC5356, NAME: TUSCANY SURGICAL CENTER LLC, LEGALLY: TUSCANY SURGICAL CENTER LLC, ADDRESS: 2851 SOUTH AVENUE B, SUITE 2801, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 581-8894, FAX: (928) 344-5655, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4699, LICENSE: , NAME: CARONDELET HOLY CROSS HOSPITAL REHABILITATIVE SERV, LEGALLY: CARONDELET HOLY CROSS HOSPITAL REHABILITATIVE SERVICES, ADDRESS: 857 WEST BELL ROAD, SUITE 4, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 285-8030, FAX: (520) 285-5994, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0234, LICENSE: H0019, NAME: ST LUKES MEDICAL CENTER, LEGALLY: ST LUKE'S MEDICAL CENTER, ADDRESS: 1800 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 251-8156, FAX: (602) 251-8685, CAPACITY: 226, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4718, LICENSE: HHA5359, NAME: HEALTH FOCUS HOME CARE, INC, LEGALLY: HEALTH FOCUS HOME CARE, INC, ADDRESS: 1111 NORTH GILBERT ROAD, # 210 B, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 926-2711, FAX: (480) 545-6675, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4700, LICENSE: , NAME: ST JOSEPH'S CENTER FOR WOMEN'S HEALTH, LEGALLY: ST. JOSEPH'S CENTER FOR WOMEN'S HEALTH, ADDRESS: 500 WEST THOMAS ROAD, SUITE 730, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3510, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4703, LICENSE: OTC5302, NAME: SCOTTSDALE HEALTHCARE URGENT CARE PLUS +, LEGALLY: SCOTTSDALE HEALTHCARE URGENT CARE PLUS +, ADDRESS: 13843 NORTH TATUM BOULEVARD, UNIT 1, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 323-3246, FAX: (480) 323-3966, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4706, LICENSE: OTC5220, NAME: PUEBLO SPRINGS REHABILITATION CENTER, LEGALLY: PUEBLO SPRINGS REHABILITATION CENTER, ADDRESS: 5545 EAST LEE STREET, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 296-2306, FAX: (520) 296-4072, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4708, LICENSE: OTC5231, NAME: FASTMED URGENT CARE-SHEA, LEGALLY: FASTMED URGENT CARE-SHEA, ADDRESS: 4902 EAST SHEA BOULEVARD STE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4709, LICENSE: OTC5221, NAME: FASTMED URGENT CARE-SIGNAL BUTTE, LEGALLY: FASTMED URGENT CARE-SIGNAL BUTTE, ADDRESS: 1955 SOUTH SIGNAL BUTTE ROAD STE 103, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4710, LICENSE: OTC5227, NAME: FASTMED URGENT CARE-POWER ROAD, LEGALLY: FASTMED URGENT CARE-POWER ROAD, ADDRESS: 1810 SOUTH POWER ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85206, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4712, LICENSE: OTC5207, NAME: DERMA HEALTH OF ARROWHEAD, LEGALLY: DERMA HEALTH OF ARROWHEAD, ADDRESS: 21681 N 77TH AVE, SUITE 1400, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 594-1300, FAX: (480) 543-1118, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4714, LICENSE: OTC5255, NAME: VHS, ARIZONA HEART INSTITUTE - CASA GRANDE, LEGALLY: VHS, ARIZONA HEART INSTITUTE - CASA GRANDE, ADDRESS: 803 N SALK DR, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (602) 266-2200, FAX: (602) 604-5039, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4715, LICENSE: OTC5244, NAME: THOMPSON PEAK FAMILY CARE AT SCOTTSDALE HEALTHCARE, LEGALLY: THOMPSON PEAK FAMILY CARE AT SCOTTSDALE HEALTHCARE, ADDRESS: 20401 N 73RD STREET, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 505-3484, FAX: (480) 505-3348, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4716, LICENSE: OTC5218, NAME: MOUNTAIN HEALTH AND WELLNESS OF YUMA, LEGALLY: MOUNTAIN HEALTH AND WELLNESS OF YUMA, ADDRESS: 1210 WEST 24TH STREET, SUITE 2, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (480) 983-0065, FAX: (480) 288-5339, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4717, LICENSE: OTC5226, NAME: ADVANCED URGENT CARE, LEGALLY: ADVANCED URGENT CARE, ADDRESS: 5201 NORTH 19TH AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 795-1411, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4719, LICENSE: OTC5326, NAME: NEXTCARE URGENT CARE-43RD, LEGALLY: NEXTCARE URGENT CARE-43RD, ADDRESS: 10240 NORTH 43RD AVENUE, STE 3, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (480) 776-1630, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4728, LICENSE: OTC5271, NAME: NORTHWEST ALLIED PHYSICIANS AT RANCHO VISTO- 100, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT RANCHO VISTOSO-SUITE 100, ADDRESS: 13101 NORTH ORACLE ROAD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 901-3948, FAX: (520) 901-3958, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4729, LICENSE: OTC5281, NAME: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 123, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 901-6230, FAX: (520) 825-9667, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4730, LICENSE: OTC5253, NAME: SONORAN PAIN MANAGEMENT-TEMPE, LEGALLY: SONORAN PAIN MANAGEMENT-TEMPE, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 314, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 968-1216, FAX: (602) 251-8239, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4734, LICENSE: OTC5260, NAME: LAVEEN PRIMARY CARE, LEGALLY: LAVEEN PRIMARY CARE, ADDRESS: 7620 W LOWER BUCKEYE ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85043, PHONE: (623) 936-0821, FAX: (623) 478-9151, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4733, LICENSE: OTC5251, NAME: MOUNTAIN VISTA FAMILY CARE AT QUEEN CREEK, LEGALLY: MOUNTAIN VISTA FAMILY CARE AT QUEEN CREEK, ADDRESS: 21321 EAST OCOTILLO ROAD, BUILDING A, SUITE 103, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85142, PHONE: (480) 677-3746, FAX: (480) 677-3761, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4732, LICENSE: OTC5619, NAME: MOUNTAIN VISTA ORTHOPAEDIC SPECIALISTS, LEGALLY: MOUNTAIN VISTA ORTHOPAEDIC SPECIALISTS, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 301-A, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 354-5900, FAX: (480) 357-2415, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED4736, LICENSE: SH5391, NAME: ARIZONA STATE FORENSIC HOSPITAL, LEGALLY: ARIZONA STATE FORENSIC HOSPITAL, ADDRESS: 501 NORTH 24TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 220-6000, FAX: (602) 220-6292, CAPACITY: 120, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4737, LICENSE: OTC5276, NAME: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 337, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 901-6380, FAX: (520) 901-6381, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4738, LICENSE: OTC5270, NAME: NORTHWEST ALLIED PHYSICIANS AT RANCHO VISTOSO, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT RANCHO VISTOSO, ADDRESS: 13101 NORTH ORACLE ROAD, SUITE 157, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 901-3948, FAX: (520) 901-3985, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED4739, LICENSE: HHA5328, NAME: VALLEY VIEW HOME HEALTH, LEGALLY: VALLEY VIEW HOME HEALTH, ADDRESS: 1520 HAMMER LANE, SUITE 102, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-4140, FAX: (928) 788-4148, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4740, LICENSE: OTC5266, NAME: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY - S 315, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY - SUITE 315, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 315, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 219-5506, FAX: (520) 825-9667, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4742, LICENSE: OTC5275, NAME: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY - S 131, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT ORO VALLEY - SUITE 131, ADDRESS: 1521 EAST TANGERINE ROAD, SUITE 131, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 825-5719, FAX: (520) 825-9667, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4735, LICENSE: OTC5256, NAME: SOUTH MOUNTAIN PRIMARY CARE, LEGALLY: SOUTH MOUNTAIN PRIMARY CARE, ADDRESS: 4530 EAST RAY ROAD, SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 940-5420, FAX: (480) 940-5480, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4731, LICENSE: OTC5254, NAME: SURG WT LOSS SOLUTIONS AT TEMPE ST LUKES & SURG SP, LEGALLY: SURGICAL WEIGHT LOSS SOLUTIONS AT TEMPE ST. LUKE'S AND TEMPE SURGICAL SPECIALIST, ADDRESS: 1492 S MILL AVENUE, SUITE 201, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 257-2794, FAX: (480) 968-0828, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4744, LICENSE: OTC5282, NAME: NORTHWEST ALLIED PHYSICIANS AT FLOWING WELLS, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT FLOWING WELLS, ADDRESS: 4003 NORTH FLOWINGS WELLS ROAD, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 888-3033, FAX: (520) 888-5722, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4747, LICENSE: OTC5279, NAME: NORTHWEST ALLIED PHYSICIANS AT CONTINENTAL RESERVE, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT CONTINENTAL RESERVE, ADDRESS: 8333 NORTH SILVERBELL ROAD, SUITE 161, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 202-7770, FAX: (520) 202-7773, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4748, LICENSE: OTC5280, NAME: NORTHWEST ALLIED PHYSICIANS AT FOUNTAIN PLAZA, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT FOUNTAIN PLAZA, ADDRESS: 6060 NORTH FOUNTAIN PLAZA, SUITE 270, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 229-2578, FAX: (520) 229-2561, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4743, LICENSE: OTC5248, NAME: PHOENIX HEART CENTER, LEGALLY: PHOENIX HEART CENTER, ADDRESS: 555 NORTH 18TH STREET, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 234-0004, FAX: (602) 254-6665, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4756, LICENSE: OTC5613, NAME: MOUNTAIN VISTA GASTROENTEROLOGY, LEGALLY: MOUNTAIN VISTA GASTROENTEROLOGY, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 402, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 984-8500, FAX: (480) 984-1973, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4757, LICENSE: OTC5283, NAME: NORTHWEST ALLIED PHYSICIANS AT SUNNYVALE, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT SUNNYVALE, ADDRESS: 8710 NORTH THORNYDALE, SUITE 160, CITY: TUCSON, STATE: AZ, ZIP: 85742, PHONE: (520) 744-2441, FAX: (520) 744-2449, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4755, LICENSE: OTC5247, NAME: SONORAN PAIN MANAGEMENT-PHOENIX, LEGALLY: SONORAN PAIN MANAGEMENT-PHOENIX, ADDRESS: 525 NORTH 18TH STREET, SUITE 304, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 251-8304, FAX: (602) 251-8239, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4758, LICENSE: OTC5267, NAME: NORTHWEST ALLIED PHYSICIANS AT ORANGE GROVE, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT ORANGE GROVE, ADDRESS: 1871 WEST ORANGE GROVE ROAD, SUITE 135, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 382-3050, FAX: (520) 382-3055, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4759, LICENSE: OTC5278, NAME: NORTHWEST ALLIED PHYSICIANS AT PARADISE FALLS, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT PARADISE FALLS, ADDRESS: 3987 EAST PARADISE FALLS DRIVE, SUITE 119, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 408-6955, FAX: (520) 408-9537, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4754, LICENSE: OTC5609, NAME: PHOENIX HEART CENTER-MESA, LEGALLY: PHOENIX HEART CENTER-MESA, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 301-B, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 380-1404, FAX: (480) 354-0391, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4753, LICENSE: OTC5258, NAME: AZ CENTER FOR BONE AND JOINT DISORDERS-PHOENIX, LEGALLY: AZ CENTER FOR BONE AND JOINT DISORDERS-PHOENIX, ADDRESS: 2122 EAST HIGHLAND AVENUE, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 553-3113, FAX: (602) 667-7991, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4751, LICENSE: OTC5274, NAME: NORTHWEST ALLIED PHYSICIANS AT SADDLEBROOKE, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT SADDLEBROOKE, ADDRESS: 63701 EAST SADDLEBROOKE BLVD F, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 818-0300, FAX: (520) 818-2508, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4750, LICENSE: OTC5272, NAME: NORTHWEST ALLIED PHYSICIANS AT DOVE MOUNTAIN, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT DOVE MOUNTAIN, ADDRESS: 12080 N DOVE MOUNTAIN BLVD, SUITE 140, CITY: MARANA, STATE: AZ, ZIP: 85658, PHONE: (520) 744-7221, FAX: (520) 825-9667, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0206, LICENSE: H0140, NAME: MT GRAHAM REGIONAL MEDICAL CENTER, LEGALLY: MOUNT GRAHAM REGIONAL MEDICAL CENTER, ADDRESS: 1600 SOUTH 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4000, FAX: (928) 348-5701, CAPACITY: 49, COUNTY: GRAHAM TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4760, LICENSE: OTC5304, NAME: FASTMED URGENT CARE-VALENCIA, LEGALLY: FASTMED URGENT CARE-VALENCIA, ADDRESS: 1895 WEST VALENCIA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4761, LICENSE: OTC5317, NAME: FASTMED URGENT CARE-SWAN, LEGALLY: FASTMED URGENT CARE-SWAN, ADDRESS: 2460 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4762, LICENSE: OTC5323, NAME: FASTMED URGENT CARE-TANQUE VERDE, LEGALLY: FASTMED URGENT CARE-TANQUE VERDE, ADDRESS: 9175 EAST TANQUE VERDE, CITY: TUCSON, STATE: AZ, ZIP: 85749, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: PIMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED4764, LICENSE: OSC5398, NAME: LA PALOMA SURGERY CENTER, LEGALLY: LA PALOMA SURGERY CENTER, ADDRESS: 4041 EAST SUNRISE DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 722-6277, FAX: (520) 722-6291, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4774, LICENSE: HHA5319, NAME: STELLAR HEALTHCARE SERVICES LLC, LEGALLY: STELLAR HEALTHCARE SERVICES LLC, ADDRESS: 14362 NORTH FRANK LLOYD WRIGHT BLVD, SUITE 1105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 305-6038, FAX: (480) 661-1164, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4766, LICENSE: H5344, NAME: FLORENCE HOSPITAL AT ANTHEM, LLC, LEGALLY: FLORENCE HOSPITAL AT ANTHEM, LLC, ADDRESS: 4545 NORTH HUNT HIGHWAY, CITY: FLORENCE, STATE: AZ, ZIP: 85132, PHONE: (520) 868-3333, FAX: (520) 424-2513, CAPACITY: 36, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4765, LICENSE: OTC5273, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 4202 N 32ND STREET, SUITE C, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 956-6559, FAX: (602) 956-6834, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4767, LICENSE: OTC5277, NAME: DEER VALLEY MEDICAL, LEGALLY: DEER VALLEY MEDICAL, ADDRESS: 6206 W BELL ROAD, SUITE 1, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 375-5440, FAX: (602) 375-5510, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED4770, LICENSE: OSC0051, NAME: SURGICARE, LLC, LEGALLY: SURGICARE, LLC, ADDRESS: 5115 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 266-2522, FAX: (602) 264-2172, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4772, LICENSE: OTC5349, NAME: FASTMED URGENT CARE-HAPPY VALLEY, LEGALLY: FASTMED URGENT CARE - HAPPY VALLEY, ADDRESS: 3730 W HAPPY VALLEY RD, STE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85310, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4771, LICENSE: OTC5286, NAME: FASTMED URGENT CARE-SILVERBELL, LEGALLY: FASTMED URGENT CARE - SILVERBELL, ADDRESS: 7850 NORTH SILVERBELL RD STE 132, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4777, LICENSE: OTC5414, NAME: VERDE VALLEY MEDICAL CENTER GENERAL SURGEONS, LEGALLY: VERDE VALLEY MEDICAL CENTER GENERAL SURGEONS, ADDRESS: 199 SOUTH CANDY LANE, SUITE 1A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-0909, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0216, LICENSE: H0137, NAME: BANNER DESERT MEDICAL CENTER, LEGALLY: BANNER DESERT MEDICAL CENTER, ADDRESS: 1400 SOUTH DOBSON ROAD, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-3000, FAX: (480) 412-8711, CAPACITY: 639, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4779, LICENSE: OTC5377, NAME: VINEYARD MEDICAL CLINIC, LEGALLY: VINEYARD MEDICAL CLINIC, ADDRESS: 6250 WEST PEORIA AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 934-4000, FAX: (623) 934-3747, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4780, LICENSE: HHA5357, NAME: UNIVERSAL HOMEHEALTH, INC, LEGALLY: UNIVERSAL HOMEHEALTH, INC, ADDRESS: 40 WEST BASELINE, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 621-7388, FAX: (480) 621-7485, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4782, LICENSE: OTC5320, NAME: URGENT CARE EXTRA-GREENWAY, LEGALLY: EAST VALLEY URGENT CARE- GREENWAY, ADDRESS: 6501 EAST GREENWAY PARKWAY #104, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 471-6404, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4783, LICENSE: HHA5335, NAME: A PLUS HOME HEALTH SERVICES, LLC, LEGALLY: A PLUS HOME HEALTH SERVICES, LLC, ADDRESS: 1600 WEST CHANDLER BOULEVARD, SUITE 110-B, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 917-6994, FAX: (480) 203-2678, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4795, LICENSE: HHA5313, NAME: AMERICAN MEDICAL HOMECARE ALLIANCE, INC, LEGALLY: AMERICAN MEDICAL HOMECARE ALLIANCE, INC, ADDRESS: 9700 NORTH 91TH STREET, SUITE A-105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 359-3998, FAX: (520) 306-4995, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0222, LICENSE: H0077, NAME: JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL, LEGALLY: JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL, ADDRESS: 250 EAST DUNLAP AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 870-6060, FAX: (602) 944-9610, CAPACITY: 262, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED4785, LICENSE: OSC2423, NAME: PLASTIC SURGERY CENTER AT KIERLAND, THE, LEGALLY: PLASTIC SURGERY CENTER AT KIERLAND, THE, ADDRESS: 7102 EAST ACOMA DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 483-6200, FAX: (480) 483-1702, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4786, LICENSE: OTC5303, NAME: AMERICAN PAIN SOLUTIONS OF ARIZONA, LLC, LEGALLY: AMERICAN PAIN SOLUTIONS OF ARIZONA, LLC, ADDRESS: 9023 EAST DESERT COVE, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (800) 769-2774, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4788, LICENSE: OTC5307, NAME: ADVANCED HEART & VASCULAR INSTITUTE, LEGALLY: ADVANCED HEART & VASCULAR INSTITUTE, ADDRESS: 1331 NORTH 7TH STREET, SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 507-6002, FAX: (602) 507-4339, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4789, LICENSE: OTC5573, NAME: DOWNTOWN MEDICAL GROUP, LEGALLY: DOWNTOWN MEDICAL GROUP, ADDRESS: 3330 N. 2ND STREET, SUITE #502, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 824-4400, FAX: (602) 824-4409, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED4790, LICENSE: OTC5350, NAME: COMMUNITY HOSPITAL CLINIC-CONGRESS, LEGALLY: COMMUNITY HOSPITAL CLINIC-CONGRESS, ADDRESS: 26750 B SOUTH SANTA FE ROAD, CITY: CONGRESS, STATE: AZ, ZIP: 85332, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4794, LICENSE: OTC5318, NAME: WEST YAVAPAI PRIMAY CARE, LEGALLY: WEST YAVAPAI PRIMAY CARE, ADDRESS: 3345 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 583-6411, FAX: (928) 772-5445, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4796, LICENSE: OTC5308, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 5220 NORTH DYSART, BUILDING G, SUITE 174, CITY: LITCHFIELD PARK, STATE: AZ, ZIP: 85340, PHONE: (623) 535-9421, FAX: (623) 444-5031, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4799, LICENSE: HHA5386, NAME: SYNERGY HOMECARE, LEGALLY: SYNERGY HOMECARE, ADDRESS: 1660 SOUTH ALMA SCHOOL ROAD, SUITE 201, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 377-6770, FAX: (480) 377-6763, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4804, LICENSE: , NAME: TMC WOUND CARE AT ELDORADO CAMPUS, LEGALLY: TMC WOUND CARE AT ELDORADO CAMPUS, ADDRESS: 1400 NORTH WILMOT ROAD, FIRST FLOOR, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-4220, FAX: (520) 324-4221, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4787, LICENSE: OTC5315, NAME: NORTHWEST ALLIED PHYSICIANS AT DUVAL MINE ROAD, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT DUVAL MINE ROAD, ADDRESS: 1295 WEST DUVAL MINE ROAD, SUITE 101, CITY: SAHUARITA, STATE: AZ, ZIP: 85614, PHONE: (520) 648-4310, FAX: (520) 648-4311, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4807, LICENSE: OTC5309, NAME: BELLA VISTA CLINICA, LEGALLY: BELLA VISTA CLINICA, ADDRESS: 515 WEST BUCKEYE ROAD, SUITE 201, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 712-1822, FAX: (602) 712-1833, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4808, LICENSE: OTC5327, NAME: VALLE DEL SOL, LEGALLY: VALLE DEL SOL, ADDRESS: 3807 NORTH 7TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 258-6797, FAX: (602) 248-8113, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4810, LICENSE: OTC5394, NAME: URGENT CARE EXTRA-VAL VISTA, LEGALLY: EAST VALLEY URGENT CARE, ADDRESS: 1641 EAST GUADALUPE ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4811, LICENSE: OTC5346, NAME: TRAMONTO CROSSING FAMILY MEDICINE, LEGALLY: TRAMONTO CROSSING FAMILY MEDICINE, ADDRESS: 34975 NORTH VALLEY PARKWAY, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85086, PHONE: (623) 434-6116, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4812, LICENSE: OTC5314, NAME: PINAL COUNTY- MARICOPA PUBLIC HEALTH CLINIC, LEGALLY: PINAL COUNTY- MARICOPA PUBLIC HEALTH CLINIC, ADDRESS: 41600 WEST SMITH ENKE ROAD BUILDING 15, CITY: MARICOPA, STATE: AZ, ZIP: 85139, PHONE: (866) 960-0633, FAX: (520) 866-7302, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4813, LICENSE: OTC5332, NAME: DESERT CARDIOLOGY OF TUCSON, LEGALLY: DESERT CARDIOLOGY OF TUCSON, ADDRESS: 6080 NORTH LA CHOLLA BOULEVARD, STE 200, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 797-8550, FAX: (520) 797-0562, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4814, LICENSE: OTC5333, NAME: DESERT CARDIOLOGY OF TUCSON, LEGALLY: DESERT CARDIOLOGY OF TUCSON, ADDRESS: 1521 EAST TANGERINE ROAD, STE 255, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 825-2484, FAX: (520) 825-6883, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4837, LICENSE: HHA5384, NAME: CAREMINDERS HOME CARE, LEGALLY: CAREMINDERS HOME CARE, ADDRESS: 1239 EAST PRINCE ROAD, SUITE A, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 305-3135, FAX: (520) 305-4551, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4815, LICENSE: OTC5331, NAME: DESERT CARDIOLOGY OF TUCSON, LEGALLY: DESERT CARDIOLOGY OF TUCSON, ADDRESS: 1295 WEST DUVAL MINE ROAD, SUITE 111, CITY: SAHUARITA, STATE: AZ, ZIP: 85614, PHONE: (520) 648-1098, FAX: (520) 797-0562, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4816, LICENSE: OTC5316, NAME: NORTHWEST ALLIED PHYS SPLTY CLINIC AT DUVAL MINE R, LEGALLY: NORTHWEST ALLIED PHYSICIANS SPECIALTY CLINIC AT DUVAL MINE ROAD, ADDRESS: 1295 WEST DUVAL MINE ROAD, SUITE 111, CITY: SAHUARITA, STATE: AZ, ZIP: 85614, PHONE: (520) 648-1098, FAX: (520) 797-0562, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4817, LICENSE: OTC5392, NAME: PHOENIX NEUROLOGICAL & SLEEP INSTITUTE & PNI, LEGALLY: PHOENIX NEUROLOGICAL & SLEEP INSTITUTE & PNI, ADDRESS: 6707 NORTH 19TH AVENUE, SUITE 220, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (480) 776-2982, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4775, LICENSE: , NAME: VERDE VALLEY MEDICAL CTR LAB- VILLAGE OF OAK CREEK, LEGALLY: VERDE VALLEY MEDICAL CTR LAB- VILLAGE OF OAK CREEK CAMPUS, ADDRESS: 61 BELL ROCK PLAZA, SUITE C, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 204-4026, FAX: (928) 773-2348, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4781, LICENSE: OTC5361, NAME: URGENT CARE EXTRA-BELL, LEGALLY: URGENT CARE EXTRA-BELL, ADDRESS: 3247 EAST BELL ROAD #PB-1, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4797, LICENSE: HSPC5345, NAME: FAMILY COMFORT HOSPICE, LEGALLY: FAMILY COMFORT HOSPICE, ADDRESS: 9150 EAST DEL CAMINO DRIVE, SUITE 111, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 745-3015, FAX: (480) 745-3019, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4819, LICENSE: HHA5396, NAME: NURU HOME HEALTHCARE LLC, LEGALLY: NURU HOME HEALTHCARE LLC, ADDRESS: 136 WEST MAIN STREET, SUITE #201/202, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 964-6878, FAX: (480) 964-6879, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4820, LICENSE: HHA5439, NAME: NURSESTAFFING GROUP AZ LLC, LEGALLY: NURSESTAFFING GROUP AZ LLC, ADDRESS: 1828 NORTH CRAYCROFT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 327-2651, FAX: (520) 327-2474, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4823, LICENSE: OTC5401, NAME: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON WEST, LEGALLY: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON WEST, ADDRESS: 1661 W GRANT RD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 682-4340, FAX: (520) 628-1871, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4824, LICENSE: OTC5400, NAME: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON NORT, LEGALLY: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON NORTH, ADDRESS: 2945 W INA RD SUITE 103, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 877-8600, FAX: (520) 877-8601, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4825, LICENSE: OTC5403, NAME: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON EAST, LEGALLY: US HEALTHWORKS MEDICAL GROUP OF AZ, PC TUCSON EAST, ADDRESS: 888 S CRAYCROFT RD #150, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 747-0446, FAX: (520) 747-0417, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4826, LICENSE: OTC5449, NAME: FASTMED URGENT CARE-ASU, LEGALLY: FASTMED URGENT CARE- ASU, ADDRESS: 940 EAST UNIVERSITY DRIVE, STE 101, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4827, LICENSE: OTC5412, NAME: FASTMED URGENT CARE-LITCHFIELD, LEGALLY: FASTMED URGENT CARE- LITCHFIELD, ADDRESS: 1507 NORTH LITCHFIELD ROAD GOODYEAR, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (480) 545-2787, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4828, LICENSE: OTC5348, NAME: PINAL COUNTY- SAN TAN VALLEY HEALTH CLINIC, LEGALLY: PINAL COUNTY- SAN TAN VALLEY HEALTH CLINIC, ADDRESS: 36235 NORTH GANTZEL ROAD, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85140, PHONE: (866) 960-0633, FAX: (520) 866-7302, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4829, LICENSE: OTC5312, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 601 NORTH NAVAJO DRIVE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-0740, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4830, LICENSE: OTC5417, NAME: SIMONMED IMAGING- ORANGE GROVE, LEGALLY: SIMONMED IMAGING- ORANGE GROVE, ADDRESS: 1845 WEST ORANGE ROAD, SUITE 103, CITY: ORO VALLEY, STATE: AZ, ZIP: 85704, PHONE: (520) 230-4900, FAX: (520) 230-4910, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4831, LICENSE: OTC5416, NAME: SIMONMED IMAGING- WILMOT, LEGALLY: SIMONMED IMAGING- WILMOT, ADDRESS: 310 NORTH WILMOT ROAD, SUITE 302, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 449-8001, FAX: (520) 449-8010, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4832, LICENSE: OTC5334, NAME: DIABETIC AND NEUROPATHY TREATMENT CENTERS, LEGALLY: DIABETIC AND NEUROPATHY TREATMENT CENTERS, ADDRESS: 8591 EAST BELL ROAD, SUITE #102, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 459-5992, FAX: (480) 656-5260, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4892, LICENSE: HHA5440, NAME: SANTA RITA CARE CENTER, LLC, LEGALLY: SANTA RITA CARE CENTER LLC, ADDRESS: 150 NORTH LA CANADA DRIVE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-0178, FAX: (520) 648-5099, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4834, LICENSE: OTC5446, NAME: TERROS PRIMARY CARE SERVICES- MCDOWELL, LEGALLY: TERROS PRIMARY CARE SERVICES- MCDOWELL, ADDRESS: 4909 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 685-6000, FAX: (602) 685-6001, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4835, LICENSE: OTC5370, NAME: TOWN CENTER MEDICAL GROUP AT SCOTTSDALE HEALTHCARE, LEGALLY: TOWN CENTER MEDICAL GROUP AT SCOTTSDALE HEALTHCARE, ADDRESS: 7301 EAST 2ND STREET #300, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-9047, FAX: (480) 970-8718, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4836, LICENSE: HSPC5358, NAME: HOSPICE INTEGRITY LLC, LEGALLY: HOSPICE INTEGRITY LLC, ADDRESS: 1930 SOUTH ALMA SCHOOL ROAD, SUITE D105, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 313-1654, FAX: (888) 383-9412, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0236, LICENSE: H0154, NAME: SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER, LEGALLY: SCOTTSDALE HEALTHCARE HOSPITALS, ADDRESS: 9003 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-3000, FAX: (480) 323-3510, CAPACITY: 432, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4838, LICENSE: , NAME: MT GRAHAM REGIONAL CARDIOLOGY CENTER, LEGALLY: MT GRAHAM REGIONAL CARDIOLOGY CENTER, ADDRESS: 2241 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4000, FAX: (928) 348-5701, CAPACITY: 0, COUNTY: GRAHAM TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED4853, LICENSE: HSPC5458, NAME: LIBERTY HOSPICE LLC, LEGALLY: LIBERTY HOSPICE LLC, ADDRESS: 11811 NORTH TATUM BLVD, SUITE 3031, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 321-2128, FAX: (602) 324-0888, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4840, LICENSE: OTC5360, NAME: PALM VIEW REHABILITATION AND CARE CENTER, LEGALLY: PALM VIEW REHABILITATION AND CARE CENTER, ADDRESS: 2222 SOUTH AVENUE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-8831, FAX: (928) 782-5370, CAPACITY: 0, COUNTY: YUMA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED4704, LICENSE: HSPC5341, NAME: HOSPICE GREEN HOUSE (031557), LEGALLY: HOSPICE GREENHOUSE, ADDRESS: 20802 NORTH CAVE CREEK ROAD, BLDG # 86, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (480) 246-3270, FAX: (480) 751-2057, CAPACITY: 7, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4841, LICENSE: , NAME: CHANDLER FHC IHH SWN SAN TAN, LEGALLY: CHANDLLER FHC IHH SWN SAN TAN, ADDRESS: 1465 WEST CHANDLER BLVD BUILDING A SUITE B, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (602) 344-2502, FAX: (602) 247-9502, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4842, LICENSE: , NAME: 7TH AVE FHC IHH POCN COMUNIDAD, LEGALLY: 7TH AVE FHC IHH, ADDRESS: 1035 EAST JEFFERSON ST, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 344-2503, FAX: (602) 247-9503, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4843, LICENSE: , NAME: SOUTH CENTRAL FHC IHH CHOICES SOUTH CENTRAL, LEGALLY: SOUTH CENTRAL FHC IHH CHOICES SOUTH CENTRAL, ADDRESS: 1616 EAST ROESER ST, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 344-2501, FAX: (602) 247-9501, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2124, LICENSE: H3002, NAME: CHANDLER REGIONAL MEDICAL CENTER, LEGALLY: CHANDLER REGIONAL MEDICAL CENTER, ADDRESS: 475 SOUTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-4561, FAX: (480) 899-5548, CAPACITY: 243, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4844, LICENSE: , NAME: SUNNYSLOPE FHC IHH PIR METRO, LEGALLY: SUNNYSLOPE FHC IHH PIR METRO, ADDRESS: 10240 NORTH 31ST AVENUE SUITE 210-B, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (602) 344-2500, FAX: (602) 344-9500, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4867, LICENSE: HHA5406, NAME: AEGIS HOMECARE INC, LEGALLY: AEGIS HOMECARE INC, ADDRESS: 303 NORTH CENTENNIAL WAY, SUITE 200, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 219-4790, FAX: (480) 584-5871, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4868, LICENSE: HSPC5407, NAME: AEGIS HOSPICE, LEGALLY: AEGIS HOSPICE, ADDRESS: 303 NORTH CENTENNIAL WAY, SUITE 200, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 219-4790, FAX: (480) 584-5871, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4850, LICENSE: OTC5393, NAME: BANNER RAPID CARE CLINIC, LEGALLY: BANNER RAPID CARE CLINIC, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 405, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-7900, FAX: (623) 327-7608, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4852, LICENSE: OTC5451, NAME: SAN DIEGO FAMILY CLINIC, LEGALLY: SAN DIEGO FAMILY CLINIC, ADDRESS: 4245 N. 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 277-8885, FAX: (602) 277-5703, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4846, LICENSE: , NAME: ASHLYN DYER AQUATICS CENTER, LEGALLY: ASHLYN DYER AQUATICS CENTER, ADDRESS: 222 WEST THOMAS ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6715, FAX: (602) 406-6104, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4854, LICENSE: OTC5397, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 17900 NORTH PORTER ROAD, CITY: MARICOPA, STATE: AZ, ZIP: 85138, PHONE: (520) 233-2500, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4855, LICENSE: , NAME: UNIVERSITY OF ARIZONA MEDICAL CTR-LA CHOLLA OFFICE, LEGALLY: UNIVERSITY OF ARIZONA MEDICAL CTR-LA CHOLLA OFFICE, THE, ADDRESS: 6261 NORTH LA CHOLLA BLVD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-3940, FAX: (520) 694-3941, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4856, LICENSE: OSC5460, NAME: MOSHARRAFA OUTPATIENT SURGERY CENTER, LLC, LEGALLY: MOSC, LLC, ADDRESS: 4611 EAST SHEA BLVD BUILDING 1 SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 996-4713, FAX: (602) 787-0850, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0238, LICENSE: H0092, NAME: BANNER THUNDERBIRD MEDICAL CENTER, LEGALLY: BANNER THUNDERBIRD MEDICAL CENTER, ADDRESS: 5555 WEST THUNDERBIRD ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 588-5555, FAX: (602) 588-5930, CAPACITY: 561, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4858, LICENSE: OTC5381, NAME: INFINITY SLEEP SOLUTIONS, LEGALLY: INFINITY SLEEP SOLUTIONS, ADDRESS: 12133 WEST BELL ROAD, SUITE 101, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 792-8500, FAX: (623) 792-8574, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4857, LICENSE: OTC5390, NAME: SCOTTSDALE HEALTHCARE PRIMARY CARE-ARCADIA-101, LEGALLY: SCOTTSDALE HEALTHCARE PRIMARY CARE-ARCADIA-101, ADDRESS: 4840 EAST INDIAN SCHOOL ROAD #101, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 224-1900, FAX: (602) 224-9444, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4860, LICENSE: OTC5371, NAME: PASSPORT HEALTH-GILBERT, LEGALLY: PASSPORT HEALTH-GILBERT, ADDRESS: 1760 EAST PECOS ROAD #301, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4862, LICENSE: OTC5388, NAME: BANNER CHILDREN'S SPECIALISTS, LEGALLY: BANNER CHILDREN'S SPECIALISTS, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUTE 301, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-4011, FAX: (480) 412-7475, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4864, LICENSE: OTC5387, NAME: BANNER CHILDREN'S SPECIALISTS, LEGALLY: BANNER CHILDREN'S SPECIALISTS, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUITE 310, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (480) 412-4100, FAX: (480) 412-5154, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4865, LICENSE: , NAME: VERDE VALLEY MEDICAL IMAGING CENTER, LEGALLY: VERDE VALLEY MEDICAL IMAGING CENTER, ADDRESS: 450 SOUTH WILLARD STREET, SUITE 113, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-1260, FAX: (928) 649-3182, CAPACITY: 0, COUNTY: YAVAPAI TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED4866, LICENSE: OTC5383, NAME: XCELLENT MOBILE IMAGING, LEGALLY: XCELLENT MOBILE IMAGING, ADDRESS: 3060 SOUTH NASH WAY, CITY: CHANDLER, STATE: AZ, ZIP: 85286, PHONE: (480) 745-1328, FAX: (480) 379-8172, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0207, LICENSE: H0138, NAME: LA PAZ REGIONAL HOSPITAL, LEGALLY: LA PAZ REGIONAL HOSPITAL, ADDRESS: 1200 WEST MOHAVE ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-7300, FAX: (928) 669-7417, CAPACITY: 25, COUNTY: LA PAZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4859, LICENSE: OTC5522, NAME: URGENT CARE EXTRA-CACTUS, LEGALLY: URGENT CARE EXTRA- CACTUS, ADDRESS: 7611 WEST CACTUS ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (480) 840-3075, FAX: (480) 988-0061, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4869, LICENSE: HHA5457, NAME: ALEXA HOME HEALTH INC, LEGALLY: ALEXA HOME HEALTH INC, ADDRESS: 2737 EAST GREENWAY ROAD, SUITE 6, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 759-1605, FAX: (866) 528-6506, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED4870, LICENSE: OTC5450, NAME: WICKENBURG DIALYSIS, LEGALLY: WICKENBURG DIALYSIS, ADDRESS: 811 NORTH TEGNER STREET, SUITE 101, 103, 105, 107, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-6898, FAX: (928) 684-6107, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4872, LICENSE: OSC5426, NAME: BDPEC ASC PHOENIX, LEGALLY: BDPEC ASC PHOENIX, ADDRESS: 4800 NORTH 22ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-1000, FAX: (602) 508-4842, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4873, LICENSE: OSC5425, NAME: BDPEC ASC MESA, LEGALLY: BDPEC ASC MESA, ADDRESS: 5250 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (602) 977-6140, FAX: (602) 977-6149, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4874, LICENSE: OSC5428, NAME: BDPEC ASC SUN CITY, LEGALLY: BDPEC ASC SUN CITY, ADDRESS: 9425 WEST BELL ROAD ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 508-4951, FAX: (602) 508-4939, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4875, LICENSE: OSC5419, NAME: BDPEC ASC TUCSON, LEGALLY: BDPEC ASC TUCSON, ADDRESS: 698 EAST WETMORE, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 887-6016, FAX: (520) 887-6037, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4876, LICENSE: OSC5424, NAME: BDPEC ASC SEDONA, LEGALLY: BDPEC ASC SEDONA, ADDRESS: 95 SOLDIER PASS ROAD, SUITE A-2, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 203-1177, FAX: (928) 203-1750, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4894, LICENSE: HSPC5422, NAME: LIVING WATERS HOSPICE, LEGALLY: LIVING WATERS HOSPICE, ADDRESS: 3711 WEST HIGHWAY 68, CITY: GOLDEN VALLEY, STATE: AZ, ZIP: 86413, PHONE: (928) 565-9000, FAX: (928) 565-9001, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4881, LICENSE: OTC5577, NAME: BELL URGENT CARE, LEGALLY: BELL URGENT CARE, ADDRESS: 6345 EAST BELL ROAD, SUITE 4, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 219-2811, FAX: (480) 219-7972, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4880, LICENSE: , NAME: TEMPE ST LUKE'S HOSPITAL WOUND CENTER, LEGALLY: TEMPE ST. LUKE'S HOSPITAL WOUND CENTER, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 103, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 333-5152, FAX: (602) 251-8685, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4885, LICENSE: , NAME: PHOENIX CHILDREN'S- SCOTTSDALE CENTER, LEGALLY: PHOENIX CHILDREN'S- SCOTTSDALE CENTER, ADDRESS: 6990 EAST SHEA BOULEVARD, SUITE 104, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 922-5437, FAX: (480) 922-5438, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED4886, LICENSE: HSPC5510, NAME: SERENITY HOUSE OF SUN CITY WEST, LEGALLY: SERENITY HOUSE OF SUN CITY WEST, ADDRESS: 13951 WEST MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (602) 216-2273, FAX: (602) 443-5398, CAPACITY: 14, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4888, LICENSE: OSC5616, NAME: BDPEC ASC FLAGSTAFF, LEGALLY: BDPEC ASC FLAGSTAFF, ADDRESS: 350 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 770-0500, FAX: (928) 770-6350, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4890, LICENSE: OTC5516, NAME: SEABHS SIERRA VISTA OUTPATIENT TREATMENT CENTER, LEGALLY: SEABHS SIERRA VISTA OUTPATIENT TREATMENT CENTER, ADDRESS: 4755 CAMPUS DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-9200, FAX: (520) 586-6111, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4883, LICENSE: OTC5421, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUITE 110, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (480) 412-7400, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4891, LICENSE: , NAME: CV OB GYN WOMEN'S HEALTHCARE, LEGALLY: CV OB GYN WOMEN'S HEALTHCARE, ADDRESS: 5882 SOUTH HOSPITAL DRIVE, SUITE 1, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-8499, FAX: (928) 425-8706, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4889, LICENSE: OTC5499, NAME: ARROWHEAD HEALTH CENTERS, LEGALLY: ARROWHEAD HEALTH CENTERS, ADDRESS: 2629 NORTH SCOTTSDALE ROAD, SUITE 201, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (623) 334-4000, FAX: (623) 334-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4893, LICENSE: OTC5415, NAME: ARROWHEAD HEALTH CENTERS, LEGALLY: ARROWHEAD HEALTH CENTERS, ADDRESS: 5845 EAST STILL CIRCLE ROAD, SUITE 104, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (623) 334-4000, FAX: (623) 334-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED4895, LICENSE: SH5614, NAME: REMUDA RANCH CENTER FOR ANOREXIA AND BULIMIA, INC, LEGALLY: REMUDA RANCH CENTER FOR ANOREXIA AND BULIMIA, INC, ADDRESS: 1245 JACK BURDEN ROAD, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-3913, FAX: (928) 668-4461, CAPACITY: 46, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4896, LICENSE: OTC5404, NAME: DERMATOLOGY SPECIALISTS, LEGALLY: DERMATOLOGY SPECIALISTS, ADDRESS: 1890 EAST FLORENCE BOULEVARD, SUITE 4, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 374-2960, FAX: (520) 374-2961, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4897, LICENSE: OTC5558, NAME: PARADISE VALLEY HOSPITAL OUTPATIENT DIABETES CLINI, LEGALLY: PARADISE VALLEY HOSPITAL OUTPATIENT DIABETES CLINIC, ADDRESS: 3815 EAST BELL ROAD SUITE 3500 - B, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-5813, FAX: (602) 923-5814, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED4903, LICENSE: OSC5488, NAME: ARIZONA ADVANCED ENDOSCOPY LLC, LEGALLY: ARIZONA ADVANCED ENDOSCOPY LLC, ADDRESS: 2680 SOUTH VAL VISTA DRIVE SUITE #127, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 253-5656, FAX: (480) 253-5680, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4887, LICENSE: , NAME: SCOTTSDALE HEALTHCARE WOMEN'S DIAGNOSTIC CENTER, LEGALLY: SCOTTSDALE HEALTHCARE WOMEN'S DIAGNOSTIC CENTER, ADDRESS: 9003 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-3009, FAX: (480) 323-3010, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4902, LICENSE: HHA5429, NAME: BLESSED HOME HEALTH CARE INC, LEGALLY: BLESSED HOME HEALTH CARE INC, ADDRESS: 625 NORTH GILBERT ROAD, SUITE 106, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (832) 382-3422, FAX: (281) 597-0262, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4901, LICENSE: OTC5402, NAME: DIAMOND DIAGNOSTICS, LEGALLY: DIAMOND DIAGNOSTICS, ADDRESS: 1324 NORTH FARRELL COURT 102, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 926-4363, FAX: (866) 728-9321, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4907, LICENSE: OTC5411, NAME: FAMILY DOCTOR'S WALK-IN CENTER, LLC, LEGALLY: FAMILY DOCTOR'S WALK-IN CENTER, LLC, ADDRESS: 1495 EAST OSBORN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 254-7554, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4910, LICENSE: OTC5408, NAME: FAMILY DOCTOR'S WALK-IN CENTER, LLC, LEGALLY: FAMILY DOCTOR'S WALK-IN CENTER, LLC, ADDRESS: 1010 EAST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 844-1010, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4911, LICENSE: OTC5410, NAME: ARIZONA ASSOCIATES FOR WOMEN'S HEALTH, LEGALLY: ARIZONA ASSOCIATES FOR WOMEN'S HEALTH, ADDRESS: 4135 SOUTH POWER ROAD, BUILDING 2, SUITE 113, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 257-2700, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4912, LICENSE: , NAME: ST JOSEPH'S HOSPITAL EMPLOYEE HEALTH SVCS & BEST C, LEGALLY: ST. JOSEPH'S HOSPITAL EMPLOYEE HEALTH SVCS & BEST CARE CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 212, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3056, FAX: (602) 406-3738, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4914, LICENSE: OTC5447, NAME: CHRISTIAN CARE OUTPATIENT REHABILITATION CLINIC, LEGALLY: CHRISTAIN CARE OUTPATIENT REHABILITATION CLINIC, ADDRESS: 8111 EAST BROADWAY BOULEVARD #170, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 886-5537, FAX: (520) 733-9416, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4915, LICENSE: OTC5435, NAME: EXPRESS URGENT CARE, LEGALLY: EXPRESS URGENT CARE, ADDRESS: 10249 WEST THUNDERBIRD BOULEVARD, SUITE 300, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 889-7285, FAX: (623) 889-7286, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4916, LICENSE: OTC5477, NAME: ARIZONA THERAPEUTIC LEARNING CENTER, LEGALLY: ARIZONA THERAPEUTIC LEARNING CENTER, ADDRESS: 3620 NORTH 3RD STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 230-7373, FAX: (602) 682-7455, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4917, LICENSE: OTC5453, NAME: SAN TAN URGENT CARE HEALTH CENTER, LLC, LEGALLY: SAN TAN URGENT CARE HEALTH CENTER, LLC, ADDRESS: 2081 WEST HIGHWAY 70, CITY: THATCHER, STATE: AZ, ZIP: 85552, PHONE: (480) 458-5135, FAX: (480) 458-5241, CAPACITY: 0, COUNTY: GRAHAM TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4935, LICENSE: HHA5444, NAME: ARIZONA VISITING NURSES, LEGALLY: ARIZONA VISITING NURSES, ADDRESS: 2659 WEST GUADALUPE ROAD, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 820-4141, FAX: (480) 820-4141, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4919, LICENSE: OTC5430, NAME: SUN HEALTH GRANDVIEW CARE CENTER, LEGALLY: SUN HEALTH GRANDVIEW CARE CENTER, ADDRESS: 14505 WEST GRANITE VALLEY DRIVE, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-8100, FAX: (623) 975-8133, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4707, LICENSE: SH5409, NAME: FREEDOM PAIN HOSPITAL, LEGALLY: SH OPERATING, LLC, ADDRESS: 17500 NORTH PERIMETER DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 586-2300, FAX: (623) 241-6108, CAPACITY: 12, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4904, LICENSE: OTC5418, NAME: FOUR PEAKS PLASTIC SURGERY, LEGALLY: FOUR PEAKS PLASTIC SURGERY, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 416, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 257-2670, FAX: (480) 993-3422, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4921, LICENSE: , NAME: UNIVERSITY OF AZ MED CTR- UNIVERSITY CAMPUS PREANE, LEGALLY: UNIVERSITY OF AZ MED CTR- UNIVERSITY CAMPUS PRE-ANETHESIA CLINIC, ADDRESS: 1605 NORTH CAMPBELL AVE, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-4232, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4923, LICENSE: HHA5423, NAME: AABLE HOME HEALTH CARE, LEGALLY: AABLE HOME HEALTH CARE, ADDRESS: 6610 NORTH 47TH AVENUE, SUITE #7, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 931-1575, FAX: (623) 931-1580, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4920, LICENSE: OTC5576, NAME: CHRISTIAN CARE OUTPATIENT REHAB CLINIC, LEGALLY: CHRISTIAN CARE OUTPATIENT REHAB CLINIC, ADDRESS: 118 SOUTH 70TH STREET, CITY: MESA, STATE: AZ, ZIP: 85208, PHONE: (480) 654-1800, FAX: (480) 218-2617, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4926, LICENSE: OTC5461, NAME: HIGH DESERT MED SPA, LEGALLY: HIGH DESERT MED SPA, ADDRESS: 520 ROSE LANE, SUITE A, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-4370, FAX: (928) 684-4427, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4927, LICENSE: OTC5506, NAME: SOUTHERN ARIZONA URGENT CARE, LLC, LEGALLY: SOUTHERN ARIZONA URGENT CARE, LLC, ADDRESS: 7725 NORTH ORACLE ROAD, SUITE 131, CITY: ORO VALLEY, STATE: AZ, ZIP: 85704, PHONE: (520) 544-2273, FAX: (520) 544-4227, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4925, LICENSE: OTC5434, NAME: SCOTTSDALE HEALTHCARE PRIMARY CARE ARCADIA 100, LEGALLY: SCOTTSDALE HEALTHCARE PRIMARY CARE ARCADIA 100, ADDRESS: 4840 EAST INDIAN SCHOOL ROAD #100, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 508-2900, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4928, LICENSE: OTC5505, NAME: COMMUNITY HEALTH ASSOCIATES, LLC, LEGALLY: COMMUNITY HEALTH ASSOCIATES, LLC, ADDRESS: 2851 SOUTH AVENUE B, BUILDING 29,SUITE 2901, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 304-7729, FAX: (929) 287-8222, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4929, LICENSE: , NAME: ABRAZO MEDICAL GROUP ORTHOPEDIC SURGERY, LEGALLY: ABRAZO MEDICAL GROUP ORTHOPEDIC SURGERY, ADDRESS: 13555 WEST MCDOWELL ROAD, SUITE #201, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (602) 674-1400, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4930, LICENSE: OTC5427, NAME: CENTRAL ARIZONA DETENTION CENTER INFIRMARY, LEGALLY: CENTRAL ARIZONA DETENTION CENTER INFIRMARY, ADDRESS: 1155 NORTH PINAL PARKWAY, CITY: FLORENCE, STATE: AZ, ZIP: 85132, PHONE: (520) 868-3268, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4933, LICENSE: OTC5454, NAME: VALLEY PAIN CENTERS, LLC, LEGALLY: VALLEY PAIN CENTERS, LLC, ADDRESS: 4045 EAST BELL ROAD, SUITE 117, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 795-0207, FAX: (602) 493-0761, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4945, LICENSE: HHA5479, NAME: VITAL WELLNESS HOME HEALTH, LEGALLY: VITAL WELLNESS HOME HEALTH, ADDRESS: 230 WEST MORRISON, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (623) 933-1896, FAX: (623) 933-4015, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4931, LICENSE: OTC5557, NAME: ARIZONA PRIORITY CARE PLUS CARE CENTER, LEGALLY: ARIZONA PRIORITY CARE PLUS CARE CENTER, ADDRESS: 706 NORTH MCQUEEN ROAD, SUITE 100-145, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 499-8700, FAX: (480) 499-8799, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4937, LICENSE: OTC5443, NAME: SIMONMED IMAGING- PHOENIX, LEGALLY: SIMONMED IMAGING- PHOENIX, ADDRESS: 2620 NORTH 3RD STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 234-2994, FAX: (602) 648-5588, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4940, LICENSE: OTC5502, NAME: DMG CHILDREN'S REHABILITATIVE SERVICES MSIC, LEGALLY: DMG CHILDREN'S REHABILITATIVE SERVICES MSIC, ADDRESS: 3141 NORTH 3RD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 914-1520, FAX: (602) 470-5501, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4941, LICENSE: OTC5456, NAME: CHRISTIAN CARE OUTPATIENT REHAB CLINIC, LEGALLY: CHRISTIAN CARE OUTPATIENT REHAB CLINIC, ADDRESS: 155 WEST BROWN ROAD, # 159, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 834-0600, FAX: (480) 834-1074, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4942, LICENSE: OTC5441, NAME: ONE SOURCE RADIOLOGY, LEGALLY: ONE SOURCE RADIOLOGY, ADDRESS: 2076 EAST UNIVERSITY DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 254-1784, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4943, LICENSE: OTC5486, NAME: URGENT CARE EXTRA-PECOS, LEGALLY: URGENT CARE EXTRA- PECOS, ADDRESS: 3126 SOUTH HIGLEY ROAD, #109, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 840-3075, FAX: (480) 988-0061, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4955, LICENSE: HHA5470, NAME: FIRST CHOICE HOME HEALTH AND HOSPICE, INC, LEGALLY: FIRST CHOICE HOME HEALTH AND HOSPICE, INC, ADDRESS: 101 SOUTH LA CANADA, SUITE 38, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-1700, FAX: (520) 625-1805, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4950, LICENSE: OTC5514, NAME: URGENT CARE EXTRA-43RD, LEGALLY: URGENT CARE EXTRA- 43RD, ADDRESS: 4232 WEST BELL ROAD, SUITE C1, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 840-3075, FAX: (480) 988-0061, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED4956, LICENSE: HHA5507, NAME: PATIENTCARE ADVOCATES, LLC, LEGALLY: PATIENTCARE ADVOCATES, LLC, ADDRESS: 2122 NORTH CRAYCROFT ROAD, SUITE 116, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 546-4141, FAX: (520) 546-7002, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: CHILDRENS, ID: MED2170, LICENSE: SH3107, NAME: PHOENIX CHILDREN'S HOSPITAL, LEGALLY: PHOENIX CHILDREN'S HOSPITAL, INC., ADDRESS: 1919 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 933-0400, FAX: (602) 546-1965, CAPACITY: 385, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4957, LICENSE: OTC5472, NAME: NORTHWEST ALLIED PHYSICIANS AT LA CHOLLA, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT LA CHOLLA, ADDRESS: 7370 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-1565, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4958, LICENSE: OTC5469, NAME: NORTHWEST ALLIED PHYSICIANS AT MAGEE, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT MAGEE, ADDRESS: 7885 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 202-1585, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4960, LICENSE: OTC5481, NAME: SIERRA VISTA MEDICAL GROUP- INTERNAL MEDICINE CLIN, LEGALLY: SIERRA VISTA MEDICAL GROUP- INTERNAL MEDICINE CLINIC, ADDRESS: 75 NORTH COLONIA DE SALUD, SUITE 200 C, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 000-0000, FAX: (520) 000-0000, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4961, LICENSE: OTC5480, NAME: SIERRA VISTA MEDICAL GROUP- COCHISE ORTHOPAEDIC, LEGALLY: SIERRA VISTA MEDICAL GROUP- COCHISE ORTHOPAEDIC CLINIC, ADDRESS: 1951 SOUTH FRONTAGE ROAD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0650, FAX: , CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4962, LICENSE: OTC5482, NAME: SIERRA VISTA MEDICAL GROUP- PEDIATRICS CLINIC, LEGALLY: SIERRA VISTA MEDICAL GROUP- PEDIATRICS CLINIC, ADDRESS: 302-11 EL CAMINO REAL, SUITE C & D, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0650, FAX: , CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4963, LICENSE: OTC5483, NAME: SIERRA VISTA MEDICAL GROUP- FAMILY PRACTICE CLINIC, LEGALLY: SIERRA VISTA MEDICAL GROUP- FAMILY PRACTICE CLINIC, ADDRESS: 302-05 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 452-2231, FAX: (520) 452-2232, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4964, LICENSE: OTC5484, NAME: SIERRA VISTA MEDICAL GROUP- GENERAL SURGERY CLINIC, LEGALLY: SIERRA VISTA MEDICAL GROUP- GENERAL SURGERY CLINIC, ADDRESS: 155 CALLE PORTAL, SUITE 400, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0229, FAX: (520) 458-1038, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4965, LICENSE: OTC5528, NAME: SCHC SCHOOL HEALTH PROGRAM-SOMERTON, LEGALLY: SCHC SCHOOL HEALTH PROGRAM-SOMERTON, ADDRESS: 1011 NORTH SOMERTON AVENUE, ROOM #907, CITY: SOMERTON, STATE: AZ, ZIP: 85350, PHONE: (928) 819-8999, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4959, LICENSE: OTC5459, NAME: SCOTTSDALE HEALTHCARE OUTPATIENT PHYSICAL THERAPY, LEGALLY: SCOTTSDALE HEALTHCARE OUTPATIENT PHYSICAL THERAPY- TATUM AND THUNDERBIRD, ADDRESS: 13843 NORTH TATUM BOULEVARD, UNIT 1A, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 323-3670, FAX: (480) 323-3399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4969, LICENSE: OTC5468, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 561, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 561, ADDRESS: 14239 WEST BELL ROAD, SUITE 110, CITY: SUN CITY, STATE: AZ, ZIP: 85374, PHONE: (623) 544-1631, FAX: (623) 975-6144, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4968, LICENSE: OTC5467, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 617, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 617, ADDRESS: 520 NORTH CAMINO MERCADO, BUILDING 5, SUITE 11, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (520) 836-1707, FAX: (520) 836-7951, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4967, LICENSE: OTC5465, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 406, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 406, ADDRESS: 300 WEST CLAREDON, SUITE 285, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 277-3686, FAX: (602) 277-3676, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4966, LICENSE: OTC5503, NAME: MAX MOTION PHYSICAL THERAPY, LEGALLY: MAX MOTION PHYSICAL THERAPY, ADDRESS: 3455 CANYON DE FLORES, SUITE B, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85650, PHONE: (520) 803-9727, FAX: (520) 378-2683, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4970, LICENSE: OTC5466, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 700, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 700, ADDRESS: 20330 NORTH CAVE CREEK ROAD, SUITE A-150, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 725-4338, FAX: (602) 765-4761, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4971, LICENSE: OTC5474, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 408, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 408, ADDRESS: 2175 NORTH ALMA SCHOOL ROAD, BUILDING B, SUITE 103, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-9339, FAX: (480) 963-4098, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4972, LICENSE: OTC5476, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 409, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 409, ADDRESS: 10250 NORTH 92ND STREET, SUITE 112, MED PLAZA 1, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 661-7779, FAX: (480) 661-1546, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4973, LICENSE: OTC5464, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 405, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 405, ADDRESS: 690 NORTH COFCO COURT, SUITE 260, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 279-6925, FAX: (602) 279-6934, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4974, LICENSE: OTC5475, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 443, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 443, ADDRESS: 130 SOUTH 63RD STREET, SUITE 110, CITY: GILBERT, STATE: AZ, ZIP: 85206, PHONE: (480) 218-9973, FAX: (480) 218-9976, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4975, LICENSE: OTC5496, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 411, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 411, ADDRESS: 2001 EXCELLENCE WAY, SUITE 100, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 443-1120, FAX: (928) 443-1123, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4976, LICENSE: OTC5494, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 410, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 410, ADDRESS: 1805 NORTH 91ST AVENUE, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 907-0828, FAX: (623) 907-3058, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4977, LICENSE: OTC5492, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 407, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 407, ADDRESS: 5757 WEST THUNDERBIRD ROAD, SUITE E-465, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 843-9945, FAX: (602) 843-8775, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4978, LICENSE: OTC5471, NAME: ARIZONA DESERT HAND THERAPY SERVICES - 664, LEGALLY: ARIZONA DESERT HAND THERAPY SERVICES - 664, ADDRESS: 3200 EAST CAMELBACK ROAD, SUITE 135, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 954-8473, FAX: (602) 954-8494, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4980, LICENSE: OTC5604, NAME: BANNER HEALTH'S SCHOOL-BASED MOBILE UNIT, LEGALLY: BANNER HEALTH'S SCHOOL-BASED MOBILE UNIT, ADDRESS: 1400 SOUTH DOBSON ROAD, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-6583, FAX: (480) 412-6443, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED4420, LICENSE: H4946, NAME: BANNER IRONWOOD MEDICAL CENTER, LEGALLY: BANNER IRONWOOD MEDICAL CENTER, ADDRESS: 37000 NORTH GANTZEL ROAD, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85140, PHONE: (480) 394-4030, FAX: (480) 394-8003, CAPACITY: 47, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4981, LICENSE: OTC5455, NAME: PRO SPORTS PERFORMANCE AND REHAB, LEGALLY: PRO SPORTS PERFORMANCE AND REHAB, ADDRESS: 8630 EAST VIA DE VENTURA #101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 656-8808, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4982, LICENSE: OTC5473, NAME: EAST VALLEY FAMILY MEDICAL, LEGALLY: EAST VALLEY FAMILY MEDICAL, ADDRESS: 201 WEST GUADALUPE ROAD, SUITE 200, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 963-1853, FAX: (480) 963-1854, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-UNCLASSIFIED, SUBTYPE: UNCLASSIFIED, ID: MED4983, LICENSE: UNC5520, NAME: CIRCLE THE CITY MEDICAL RESPITE CENTER, LEGALLY: CIRCLE THE CITY MEDICAL RESPITE CENTER, ADDRESS: 333 WEST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 776-9000, FAX: (602) 776-9001, CAPACITY: 50, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4984, LICENSE: OTC5509, NAME: NEXTCARE URGENT CARE- 98TH, LEGALLY: NEXTCARE URGENT CARE- 98TH, ADDRESS: 9745 WEST BELL ROAD, SUITE #105, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 742-2999, FAX: (623) 742-2985, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED4986, LICENSE: OTC5490, NAME: PARKER MEDICAL CENTER, LEGALLY: PARKER MEDICAL CENTER, ADDRESS: 905 FIESTA AVENUE, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-2225, FAX: (928) 669-6751, CAPACITY: 0, COUNTY: LA PAZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4985, LICENSE: OTC5498, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 20751 WEST MARKET STREET, CITY: BUCKEYE, STATE: AZ, ZIP: 85396, PHONE: (623) 463-5000, FAX: (623) 463-5200, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4987, LICENSE: OTC5519, NAME: VHS ARIZONA HEART INSTITUTE-PARKWAY, LEGALLY: VHS ARIZONA HEART INSTITUTE-PARKWAY, ADDRESS: 6565 EAST GREENWAY PARKWAY, SUITE 102, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (602) 266-2200, FAX: (602) 604-5039, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4989, LICENSE: , NAME: FAMILY AND COMMUNITY MEDICINE AND DIABETES OFFICE, LEGALLY: FAMILY AND COMMUNITY MEDICINE AND DIABETES OFFICE AT ABRAMS, ADDRESS: 3950 SOUTH COUNTRY CLUB ROAD, SUITES 130 AND 140, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 874-2250, FAX: (520) 874-2251, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4988, LICENSE: OTC5644, NAME: PHOENIX NEUROLOGY AND SLEEP MEDICINE, LEGALLY: PHOENIX NEUROLOGY AND SLEEP MEDICINE, ADDRESS: 14044 WEST CAMELBACK, SUITE 102, CITY: LITCHFIELD PARK, STATE: AZ, ZIP: 85340, PHONE: (623) 535-0050, FAX: (623) 535-9520, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4995, LICENSE: HSPC5612, NAME: HOSPICE GREEN HOUSE AT YOUNGTOWN, LEGALLY: HOSPICE GREEN HOUSE AT YOUNGTOWN, ADDRESS: 11525 WEST PEORIA AVENUE, CITY: YOUNGTOWN, STATE: AZ, ZIP: 85363, PHONE: (623) 209-0051, FAX: (623) 209-0056, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED4996, LICENSE: , NAME: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC PEORIA, LEGALLY: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC PEORIA, ADDRESS: 7797 NORTH PARADISE LANE, SUITE 130, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (602) 406-2663, FAX: (602) 294-5582, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4997, LICENSE: HSPC5580, NAME: BANNER HOSPICE AT GRANDVIEW TERRACE, LEGALLY: BANNER HOSPICE AT GRANDVIEW TERRACE, ADDRESS: 14505 WEST GRANITE VALLEY DRIVE, NORTH WEST, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 524-3930, FAX: (623) 524-3931, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED4998, LICENSE: HSPC5457, NAME: ELITE HOSPICE, LEGALLY: ELITE HOSPICE LLC, ADDRESS: 8433 WEST BLACK CANYON HIGHWAY, BLDG 7, SUITE 166, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 330-3000, FAX: (602) 753-9446, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4999, LICENSE: OTC5497, NAME: MINUTECLINIC- #9202, LEGALLY: MINUTECLINIC, LLC #9202, ADDRESS: 4742 EAST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5000, LICENSE: OTC5529, NAME: MINUTECLINIC- #5038, LEGALLY: MINUTECLINIC #5038, ADDRESS: 2010 SOUTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED5001, LICENSE: OTC5504, NAME: CANYONLANDS HEALTHCARE GLOBE, LEGALLY: CANYONLANDS HEALTHCARE GLOBE, ADDRESS: 5860 SOUTH HOSPITAL DRIVE, SUITE 102, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 645-9675, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5002, LICENSE: OTC5493, NAME: RPN OF ARIZONA, LEGALLY: RPN OF ARIZONA, ADDRESS: 6120 NORTH 16TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (877) 553-3315, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5003, LICENSE: OTC5535, NAME: UNITED COMMUNITY HEALTH CENTER AT OLD VAIL MIDDLE, LEGALLY: UNITED COMMUNITY HEALTH CENTER AT OLD VAIL MIDDLE SCHOOL, ADDRESS: 13299 EAST COLOSSAL CAVE ROAD, CITY: VAIL, STATE: AZ, ZIP: 85641, PHONE: (520) 762-5200, FAX: (520) 407-5990, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED4993, LICENSE: OTC5643, NAME: PHOENIX NEUROLOGY AND SLEEP MEDICINE, LEGALLY: PHOENIX NEUROLOGY AND SLEEP MEDICINE, ADDRESS: 2925 WEST ROSE GARDEN LANE, CITY: PHOENIX, STATE: AZ, ZIP: 85077, PHONE: (623) 535-0050, FAX: (623) 535-9520, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5004, LICENSE: OTC5532, NAME: TAKE CARE HEALTH AZ- STORE #10586, LEGALLY: TAKE CARE HEALTH AZ- STORE #10586, ADDRESS: 55 WEST APACHE TRAIL, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (484) 351-3291, FAX: (610) 862-0808, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5005, LICENSE: OTC5572, NAME: TAKE CARE HEALTH AZ- STORE #10502, LEGALLY: TAKE CARE HEALTH AZ- STORE #10502, ADDRESS: 3605 EAST THOMAD ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (484) 351-3291, FAX: (610) 862-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5006, LICENSE: OTC5531, NAME: TAKE CARE HEALTH AZ - STORE #10475, LEGALLY: TAKE CARE HEALTH AZ - STORE #10475, ADDRESS: 4685 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (484) 351-3291, FAX: (610) 862-0808, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5013, LICENSE: HHA5538, NAME: KC'S HOME HEALTH CARE LLC OF PAYSON, LEGALLY: KC'S HOME HEALTH CARE LLC OF PAYSON, ADDRESS: 114 EAST HIGHWAY 260, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 468-5242, FAX: (928) 468-5241, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5010, LICENSE: OTC5623, NAME: SCOTTSDALE HEALTHCARE PRIMARY CARE-PARADISE VALLEY, LEGALLY: SCOTTSDALE HEALTHCARE PRIMARY CARE-PARADISE VALLEY, ADDRESS: 5010 E SHEA BLVD, #100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 323-1293, FAX: (480) 882-5809, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5012, LICENSE: OTC5534, NAME: JOHN C LINCOLN LIFESTREAM AT YOUNGTOWN, LEGALLY: JOHN C LINCOLN LIFESTREAM AT YOUNGTOWN, ADDRESS: 10800 N 115TH AVENUE SUITE 94, CITY: YOUNGTOWN, STATE: AZ, ZIP: 85363, PHONE: (623) 780-3751, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5014, LICENSE: OTC5515, NAME: ADVANCED URGENT CARE- UNIVERSITY, LEGALLY: ADVANCED URGENT CARE- UNIVERSITY, ADDRESS: 835 WEST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 664-6007, FAX: (480) 664-6017, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5016, LICENSE: OTC5524, NAME: ACHILLES FOOT AND ANKLE SPECIALISTS, LLC, LEGALLY: ACHILLES FOOT AND ANKLE SPECIALISTS, LLC, ADDRESS: 9377 EAST BELL ROAD #131, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 473-1901, FAX: (480) 567-0292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5017, LICENSE: OTC5508, NAME: EXPRESS URGENT CARE, LEGALLY: EXPRESS URGENT CARE, ADDRESS: 9250 WEST THOMAS ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 322-5900, FAX: (623) 322-6667, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5025, LICENSE: OTC5512, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 13995 WEST STATLER BOULEVARD, SUITE 200, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 478-3100, FAX: (623) 478-3300, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5024, LICENSE: OTC5513, NAME: BANNER HEALTH CENTER, LEGALLY: BANNER HEALTH CENTER, ADDRESS: 13995 WEST STATLER BOULEVARD, SUITE 125, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 478-3100, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5027, LICENSE: OTC5500, NAME: ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN AZ, LEGALLY: ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC, ADDRESS: 9180 EAST DESERT COVE, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (888) 233-6121, FAX: (520) 572-7138, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1574, LICENSE: H2027, NAME: MAYO CLINIC HOSPITAL, LEGALLY: MAYO CLINIC HOSPITAL, ADDRESS: 5777 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 515-6296, FAX: (480) 342-2525, CAPACITY: 268, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5035, LICENSE: OTC5511, NAME: ALLIANCE URGENT CARE- QUEEN CREEK, LEGALLY: ALLIANCE URGENT CARE- QUEEN CREEK, ADDRESS: 21582 SOUTH ELLSWORTH LOOP ROAD, SUITE 100, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (855) 887-4368, FAX: (480) 830-8012, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED5018, LICENSE: OTC5637, NAME: ESTRELLA MOUNTAIN DIALYSIS, LLC, LEGALLY: ESTRELLA MOUNTAIN DIALYSIS, LLC, ADDRESS: 9250 WEST THOMAS ROAD, SUITE 120, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 772-7363, FAX: (623) 772-7364, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5015, LICENSE: OTC5601, NAME: INSOMNIA & SLEEP INSTITUTE OF ARIZONA, LLC, THE, LEGALLY: INSOMNIA & SLEEP INSTITUTE OF ARIZONA, LLC, THE, ADDRESS: 8330 EAST HARTFORD DRIVE, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 745-3547, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5019, LICENSE: OTC5555, NAME: URGENT CARE EXTRA-IRONWOOD, LEGALLY: URGENT CARE EXTRA-IRONWOOD, ADDRESS: 40773 NORTH IRONWOOD DRIVE, CITY: SAN TAN VALLEY, STATE: AZ, ZIP: 85140, PHONE: (480) 840-3075, FAX: (480) 988-0061, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5020, LICENSE: , NAME: SUNNYSLOPE FHC IHH SWN HIGHLAND, LEGALLY: SUNNYSLOPE FHC IHH SWN HIGHLAND, ADDRESS: 4707 NORTH 12TH STREET, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 344-2506, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5021, LICENSE: , NAME: SUNNYSLOPE FHC IHH CHOICES MIDTOWN, LEGALLY: SUNNYSLOPE FHC IHH CHOICES MIDTOWN, ADDRESS: 3333 NORTH 7TH AVENUE, SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 344-2507, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5022, LICENSE: , NAME: MESA FHC IHH PIR EAST VALLEY, LEGALLY: MESA FHC IHH PIR EAST VALLEY, ADDRESS: 4330 EAST UNIVERSITY, SUITE B, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (602) 344-2504, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5023, LICENSE: , NAME: 7TH AVE FHC IHH POCN CAPITOL, LEGALLY: 7TH AVE FHC IHH POCN CAPITOL, ADDRESS: 1540 WEST VAN BUREN STREET SUITE B, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-2505, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5030, LICENSE: OTC5533, NAME: JOHN C LINCOLN LIFESTREAM AT THUNDERBIRD, LEGALLY: JOHN C LINCOLN LIFESTREAM AT THUNDERBIRD, ADDRESS: 13617 N 55TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 780-3751, FAX: (623) 780-3752, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5031, LICENSE: OTC5549, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 6242 EAST ARBOR AVENUE SUITE 123, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 543-6754, FAX: (480) 543-6808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5032, LICENSE: OTC5517, NAME: NEW PROMISE NEUROPATHY CARE CENTERS, LEGALLY: NEW PROMISE NEUROPATHY CARE CENTERS, ADDRESS: MEDICAL CENTER 5 SUITE 101, 13090 NORTH 94TH DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (602) 382-6267, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5033, LICENSE: OTC5537, NAME: VALLEY MEDICAL CENTER, LEGALLY: VALLEY MEDICAL CENTER, ADDRESS: 214 SOUTH MAIN STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-7534, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5034, LICENSE: OTC5598, NAME: SCOTTSDALE HEALTHCARE PRIMARY CARE TEMPE, LEGALLY: SCOTTSDALE HEALTHCARE PRIMARY CARE TEMPE, ADDRESS: 1845 EAST BROADWAY ROAD #116, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 323-1293, FAX: (480) 882-5809, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5037, LICENSE: OTC5521, NAME: UA INTEGRATIVE HEALTH CENTER, LEGALLY: UA INTEGRATIVE HEALTH CENTER, ADDRESS: 3033 NORTH AVENUE, SUITE 700, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 470-5577, FAX: (602) 470-5570, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5041, LICENSE: OTC5525, NAME: LITTLE CRITTERS PEDIATRICS, LEGALLY: LITTLE CRITTERS PEDIATRICS, ADDRESS: 2500 CANYON ROAD, BUILDING B UNIT 2, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1469, FAX: (928) 444-1441, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5042, LICENSE: OTC5526, NAME: ARIZONA GI CLINIC, LEGALLY: ARIZONA GI CLINIC, ADDRESS: 2755 SILVER CREEK ROAD, SUITE 133, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-6777, FAX: (928) 704-6778, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5044, LICENSE: OTC5518, NAME: NORTHWEST ALLIED PHYSICIANS AT TUBAC, LEGALLY: NORTHWEST ALLIED PHYSICIANS AT TUBAC, ADDRESS: 2239 EAST FRONTAGE ROAD, CITY: TUBAC, STATE: AZ, ZIP: 85646, PHONE: (520) 398-9604, FAX: (520) 398-9689, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5046, LICENSE: OTC5544, NAME: ANTHONY SCHWARTZ, DO, CLINIC, LEGALLY: ANTHONY SCHWARTZ, DO, CLINIC, ADDRESS: 1225 EAST HANCOCK ROAD, SUITE 205, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-3712, FAX: (928) 704-3715, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5047, LICENSE: OTC5543, NAME: WESTERN ARIZONA INTERNAL MEDICINE, LEGALLY: WESTERN ARIZONA INTERNAL MEDICINE, ADDRESS: 3735 HIGHWAY 95, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1257, FAX: (928) 444-1299, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5049, LICENSE: OTC5545, NAME: SILVER CREEK FAMILY PRACTICE, LEGALLY: SILVER CREEK FAMILY PRACTICE, ADDRESS: 1510 TURQUOISE ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-9290, FAX: (928) 763-7628, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5050, LICENSE: OTC5547, NAME: BULLHEAD CITY GASTROENTEROLOGY ASSOCIATES, LEGALLY: BULLHEAD CITY GASTROENTEROLOGY ASSOCIATES, ADDRESS: 2020 SILVER CREEK ROAD, BUILDING A, SUITE 220, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2500, FAX: (928) 763-0027, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5052, LICENSE: OTC5546, NAME: EAR AND SINUS CENTER OF THE SOUTHWEST, LEGALLY: EAR AND SINUS CENTER OF THE SOUTHWEST, ADDRESS: 2020 SILVER CREEK ROAD, SUITE A206, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-3712, FAX: (928) 704-3715, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5053, LICENSE: OTC5548, NAME: RIVERVIEW WELLNESS CENTER, LEGALLY: RIVERVIEW WELLNESS CENTER, ADDRESS: 2724 SILVER CREEK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1823, FAX: (928) 444-1824, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED5054, LICENSE: HSPC5523, NAME: AGAPE HOSPICE AND PALLIATIVE CARE, LEGALLY: AGAPE HOSPICE AND PALLIATIVE CARE, ADDRESS: 2990 NORTH SWAN ROAD #227, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 647-9910, FAX: (520) 615-7002, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5048, LICENSE: OTC5542, NAME: NEW HORIZONS SURGICAL SERVICES, LEGALLY: NEW HORIZONS SURGICAL SERVICES, ADDRESS: 2500 CANYON ROAD, BUILDING C, UNIT 2, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-7163, FAX: (928) 704-7140, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5051, LICENSE: OTC5540, NAME: MOHAVE EAR, NOSE, & THROAT, LEGALLY: MOHAVE EAR, NOSE, & THROAT, ADDRESS: 2755 SILVER CREEK ROAD, SUITE 111, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1491, FAX: (928) 444-1497, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5055, LICENSE: , NAME: OUTPATIENT THERAPY OF ORO VALLEY HOSPITAL, LEGALLY: OUTPATIENT THERAPY OF ORO VALLEY HOSPITAL, ADDRESS: 13101 NORTH ORACLE ROAD, SUITE 101, CITY: ORO VALLEY, STATE: AZ, ZIP: 85739, PHONE: (520) 901-3580, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED5057, LICENSE: OTC5566, NAME: POWER ROAD DIALYSIS, LEGALLY: POWER ROAD DIALYSIS, ADDRESS: 301 SOUTH POWER ROAD, SUITE 104, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 641-1193, FAX: (480) 985-9137, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5059, LICENSE: HHA5562, NAME: ARIZONA HOME HEALTH, LLC, LEGALLY: ARIZONA HOME HEALTH, LLC, ADDRESS: 4045 EAST BELL ROAD, STE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-0111, FAX: (602) 923-0251, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-UNCLASSIFIED, SUBTYPE: UNCLASSIFIED, ID: MED5061, LICENSE: UNC5625, NAME: PALLIATIVE CARE SERVICES, LEGALLY: PALLIATIVE CARE SERVICES, ADDRESS: 2123 SUNSET POINT DRIVE, SUITE B3, CITY: MIAMI, STATE: AZ, ZIP: 85539, PHONE: (928) 425-8330, FAX: (928) 425-8335, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5063, LICENSE: HHA5607, NAME: HOME HEALTH OF ARIZONA, TUCSON, LEGALLY: HOME HEALTH OF ARIZONA, TUCSON, ADDRESS: 50 NORTH ALVERNON WAY, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (888) 398-8409, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5043, LICENSE: OTC5527, NAME: FOX CREEK URGENT CARE, LEGALLY: FOX CREEK URGENT CARE, ADDRESS: 2500 CANYON ROAD, BUILDING B, UNIT 1, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 444-1444, FAX: (928) 444-1445, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5064, LICENSE: , NAME: CROSSROADS URGENT CARE, LEGALLY: CROSSROADS URGENT CARE, ADDRESS: 3641 HIGHWAY 95, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-2273, FAX: (928) 758-2168, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5065, LICENSE: OTC5539, NAME: HEALTH CARE FOR THE HOMELESS AT UMOM CAMPUS, LEGALLY: HEALTH CARE FOR THE HOMELESS AT UMOM CAMPUS, ADDRESS: 3333 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 372-2100, FAX: (602) 372-2107, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5067, LICENSE: OTC5553, NAME: MOUNTAIN VISTA FAMILY CARE AT AUGUSTA RANCH, LEGALLY: MOUNTAIN VISTA FAMILY CARE AT AUGUSTA RANCH, ADDRESS: 2919 SOUTH ELLSWORTH ROAD, SUITE #139, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 284-5659, FAX: (480) 284-5638, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5071, LICENSE: , NAME: YRMC TRANSITIONAL CARE SERVICES, LEGALLY: YRMC TRANSISTIONAL CARE SERVICES, ADDRESS: 2451 SOUTH AVENUE A SUITE 104, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7275, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5040, LICENSE: OTC5574, NAME: TRIVITA WELLNESS CENTER, LEGALLY: TRIVITA WELLNESS CENTER, ADDRESS: 16000 NORTH GREENWAY HAYDEN LOOP, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 337-4148, FAX: (480) 444-1409, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5072, LICENSE: OTC5554, NAME: MINUTECLINIC - #5026 (STORE CLINIC), LEGALLY: MINUTECLINIC - #5026 STORE CLINIC, ADDRESS: 1212 SOUTH GREENFIELD ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (401) 770-5422, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5073, LICENSE: , NAME: ORO VALLEY SLEEP LAB, LEGALLY: ORO VALLEY SLEEP LAB, ADDRESS: 6130 NORTH LA CHOLLA BLVD, SUITE 270, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 219-8119, FAX: (520) 219-8171, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5070, LICENSE: HHA5611, NAME: AVANZAR HOME HEALTH CARE, LLC, LEGALLY: AVANZAR HOME HEALTH CARE, LLC, ADDRESS: 455 NORTH MESA DRIVE, SUITE 9, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 359-9501, FAX: (888) 389-5191, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5077, LICENSE: OTC5575, NAME: NORTHWEST ALLIED SLEEP MEDICINE AT LA CHOLLA, LEGALLY: NORTHWEST ALLIED SLEEP MEDICINE AT LA CHOLLA, ADDRESS: 6130 N LA CHOLLA BOULEVARD, SUITE 270, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 901-6330, FAX: (520) 901-6331, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0258, LICENSE: H0070, NAME: CASA GRANDE REGIONAL MEDICAL CENTER, LEGALLY: CASA GRANDE REGIONAL MEDICAL CENTER, ADDRESS: 1800 EAST FLORENCE BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 381-6453, FAX: (520) 381-6435, CAPACITY: 177, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5062, LICENSE: HHA5645, NAME: AFFINITY HOME HEALTH PLUS, INC, LEGALLY: AFFINITY HOME HEALTH PLUS, INC, ADDRESS: 250 NORTH LITCHFIELD ROAD, SUITE 202, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 932-3552, FAX: (623) 882-3273, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5081, LICENSE: , NAME: PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY, LEGALLY: PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY, ADDRESS: 5131 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 512-0400, FAX: (480) 512-0401, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5082, LICENSE: OTC5556, NAME: ARROWHEAD FAMILY HEALTH CENTERS, PC, LEGALLY: ARROWHEAD FAMILY HEALTH CENTERS, P.C., ADDRESS: 17061 NORTH AVENUE OF THE ARTS, SUITE 100, CITY: SURPRISE, STATE: AZ, ZIP: 85378, PHONE: (622) 334-4000, FAX: (623) 337-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5084, LICENSE: OTC5564, NAME: NEW PROMISE NEUROPATHY CARE CLINICS, LEGALLY: NEW PROMISE NEUROPATHY CARE CLINICS, ADDRESS: 1400 NORTH GILBERT ROAD, SUITE 1, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 539-2808, FAX: (480) 539-2795, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5094, LICENSE: OTC5610, NAME: HEALTHCARE UNITED AT GATEWAY, LEGALLY: HEALTHCARE UNITED AT GATEWAY, ADDRESS: 108 NORTH 40TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 286-8017, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED5089, LICENSE: HSPC5642, NAME: ARIZONA BEST HOSPICE, LLC, LEGALLY: ARIZONA BEST HOSPICE, LLC, ADDRESS: 291 SOUTH MAIN STREET, SUITE G4, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-4336, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5091, LICENSE: OTC5592, NAME: FASTMED URGENT CARE-BELL, LEGALLY: FASTMED URGENT CARE - BELL, ADDRESS: 12775 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85378, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED5098, LICENSE: HHA5649, NAME: ARIZONA SENIOR HOME CARE, LLC, LEGALLY: ARIZONA SENIOR HOME CARE, LLC, ADDRESS: 104 SOUTH BROAD STREET, #2, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-4663, FAX: (928) 425-4662, CAPACITY: 0, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED5100, LICENSE: HSPC5648, NAME: PILLARS HOSPICE CARE, LLC, LEGALLY: PILLARS HOSPICE CARE, LLC, ADDRESS: 3038 EAST CACTUS ROAD, SUITE 3, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 788-1138, FAX: (602) 788-1136, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5106, LICENSE: OTC5597, NAME: JCL SUN VALLEY FAMILY MEDICINE II, LEGALLY: JCL SUN VALLEY FAMILY MEDICINE II, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 248-0123, FAX: (602) 248-8506, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5105, LICENSE: , NAME: CARONDELET RIVERSTONE IMAGING CENTER, LEGALLY: CARONDELET RIVERSTONE IMAGING CENTER, ADDRESS: 4892 NORTH STONE AVENUE, SUITE 180, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 872-5300, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5102, LICENSE: OTC5650, NAME: AZ PAIN SPECIALISTS, LLC, LEGALLY: AZ PAIN SPECIALISTS, LLC, ADDRESS: 668 NORTH 44TH STREET, SUITE 100-W, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (623) 486-1510, FAX: (623) 486-1510, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5107, LICENSE: OTC5618, NAME: FASTMED URGENT CARE-ARIZONA AVENUE, LEGALLY: FASTMED URGENT CARE - ARIZONA AVENUE, ADDRESS: 3705 SOUTH ARIZONA AVENE, SUITE 1, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5103, LICENSE: OTC5654, NAME: FASTMED URGENT CARE-INDIAN SCHOOL, LEGALLY: FASTMED URGENT CARE-INDIAN SCHOOL, ADDRESS: 5259 WEST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (480) 545-2787, FAX: (480) 545-1434, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-UNCLASSIFIED, SUBTYPE: UNCLASSIFIED, ID: MED5113, LICENSE: OTC5582, NAME: CIRCLE THE CITY MEDICAL RESPITE CENTER- PHYSICAL, LEGALLY: CIRCLE THE CITY MEDICAL RESPITE CENTER- PHYSICAL THERAPY, ADDRESS: 333 WEST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 357-4234, FAX: (602) 776-9001, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED5114, LICENSE: , NAME: PHOENIX CHILDREN'S SPECIALTY & URGENT CARE- EAST V, LEGALLY: PHOENIX CHILDREN'S SPECIALTY & URGENT CARE- EAST VALLEY OTC 1, ADDRESS: 5131 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 833-5437, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5119, LICENSE: OTC5591, NAME: PROSTATE SOLUTIONS OF ARIZONA, LEGALLY: PROSTATE SOLUTIONS OF ARIZONA, ADDRESS: 2525 EAST ARIZONA BILTMORE CIRCLE, SUITE C-236, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 426-9772, FAX: (602) 426-9775, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5120, LICENSE: OTC5616, NAME: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-MARAVILL, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-MARAVILLA, ADDRESS: 7325 EAST PRINCESS BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 538-5632, FAX: (480) 323-4688, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5125, LICENSE: OTC5602, NAME: MINUTECLINIC #69, LEGALLY: MINUTECLINIC #69, ADDRESS: 8332 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (401) 770-5422, FAX: (401) 652-1979, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5129, LICENSE: OTC5636, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 1075 SOUTH IDAHO ROAD, SUITE 206, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85219, PHONE: (480) 889-1234, FAX: (480) 889-1235, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5130, LICENSE: OTC5639, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 1760 EAST FLORENCE BOULEVARD, SUITE 100, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-7400, FAX: (520) 421-7428, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5131, LICENSE: OTC5635, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 2152 SOUTH VINEYARD, SUITE 129, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 732-0044, FAX: (480) 732-9333, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5132, LICENSE: OTC5629, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 8405 EAST BASELINE ROAD, SUITE 107, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 615-2010, FAX: (480) 324-0950, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5133, LICENSE: OTC5627, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 455 EAST 6TH STREET, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 615-2010, FAX: (480) 962-5662, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5134, LICENSE: OTC5630, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 1450 SOUTH DOBSON ROAD, SUITE B220, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 615-2010, FAX: (480) 899-4550, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5135, LICENSE: OTC5628, NAME: BANNER CHILDREN'S - BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S - BANNER HEALTH CLINIC, ADDRESS: 1220 SOUTH HIGLEY ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 615-2010, FAX: (480) 324-0950, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5136, LICENSE: OTC5634, NAME: BANNER CHILDREN'S- BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S- BANNER HEALTH CLINIC, ADDRESS: 3921 EAST BASELINE ROAD, SUITE 102, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 615-2010, FAX: (480) 545-4158, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5137, LICENSE: OTC5632, NAME: BANNER CHILDREN'S- BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S- BANNER HEALTH CLINIC, ADDRESS: 3493 SOUTH MERCY ROAD, BUILDING 15, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 732-0044, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5138, LICENSE: OTC5631, NAME: BANNER CHILDREN'S- BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S- BANNER HEALTH CLINIC, ADDRESS: 7400 SOUTH POWER ROAD, SUITE 140, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (480) 615-2010, FAX: (480) 279-1189, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5139, LICENSE: OTC5641, NAME: BANNER CHILDREN'S- BANNER HEALTH CLINIC, LEGALLY: BANNER CHILDREN'S- BANNER HEALTH CLINIC, ADDRESS: 604 WEST WARNER ROAD, SUITE D2, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 855-0999, FAX: (480) 855-0706, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5140, LICENSE: OTC5633, NAME: SONORAN SLEEP DIAGNOSTICS, LLC, LEGALLY: SONORAN SLEEP DIAGNOSTICS, LLC, ADDRESS: 2410 WEST RUTHRAUFF ROAD, SUITE M, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 887-5814, FAX: (520) 887-5950, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5143, LICENSE: OTC5624, NAME: ADVANCED HEART & VASCULAR INSTITUTE AT PALO VERDE, LEGALLY: ADVANCED HEART & VASCULAR INSTITUTE AT PALO VERDE, ADDRESS: 5251 WEST CAMPBELL AVENUE, SUITE 206, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 748-9331, FAX: (623) 748-3042, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5146, LICENSE: OTC5626, NAME: DIABETIC AND NEUROPATHY TREATMENT CENTER, LLC, LEGALLY: DIABETIC AND NEUROPATHY TREATMENT CENTER, LLC, ADDRESS: 2610 NORTH 3RD STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 824-9466, FAX: (480) 534-3125, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5147, LICENSE: OTC5622, NAME: ADVANCED HEART & VASCULAR INSTITUTE AT SUNRISE, LEGALLY: ADVANCED HEART & VASCULAR INSTITUTE AT SUNRISE, ADDRESS: 8410 WEST THOMAS ROAD, SUITE 116, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 748-9331, FAX: (623) 748-8792, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0262, LICENSE: H0097, NAME: YUMA REGIONAL MEDICAL CENTER, LEGALLY: YUMA REGIONAL MEDICAL CENTER, ADDRESS: 2400 SOUTH AVENUE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7275, FAX: (928) 336-7337, CAPACITY: 405, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5155, LICENSE: OTC5621, NAME: ADVANCED HEART & VASCULAR INSTITUTE AT GLOBE, LEGALLY: ADVANCED HEART & VASCULAR INSTITUTE AT GLOBE, ADDRESS: 5860 SOUTH HOSPITAL DRIVE, SUITE 103, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (602) 507-6002, FAX: (602) 507-4339, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5156, LICENSE: OTC5653, NAME: VEIN INSTITUTE OF PHOENIX, LEGALLY: VEIN INSTITUTE OF PHOENIX, ADDRESS: 1343 NORTH ALMA SCHOOL ROAD, SUITE 150, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 496-2655, FAX: (480) 963-1854, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED5157, LICENSE: HSPC5605, NAME: GEMINI HOSPICE, LLC, LEGALLY: GEMINI HOSPICE, LLC, ADDRESS: 3960 EAST RIGGS ROAD, SUITE 4, CITY: CHANDLER, STATE: AZ, ZIP: 85249, PHONE: (480) 883-1353, FAX: (480) 883-1613, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5158, LICENSE: OTC5608, NAME: COMMUNITY WELLNESS & SAFETY OF ARIZONA- GLENDALE, LEGALLY: COMMUNITY WELLNESS & SAFETY OF ARIZONA- GLENDALE, ADDRESS: 4425 WEST OLIVE AVENUE, SUITE 126, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 325-9459, FAX: (480) 396-0234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5153, LICENSE: OTC5606, NAME: WELL & BEING /INTENTIONAL LIVING, LEGALLY: WELL & BEING /INTENTIONAL LIVING, ADDRESS: 7575 EAST PRINCESS DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 585-2732, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0256, LICENSE: H0012, NAME: TUCSON MEDICAL CENTER, LEGALLY: TUCSON MEDICAL CENTER, ADDRESS: 5301 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 327-5461, FAX: (520) 324-1999, CAPACITY: 616, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3513, LICENSE: H4267, NAME: SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL, LEGALLY: SCOTTSDALE HEALTHCARE HOSPITALS, ADDRESS: 7400 EAST THOMPSON PEAK PARKWAY, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 324-7004, FAX: (480) 324-7010, CAPACITY: 92, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED5095, LICENSE: OSC5647, NAME: SURGCENTER AT PIMA CROSSING, LEGALLY: SURGCENTER AT PIMA CROSSING, ADDRESS: 8415 NORTH PIMA ROAD, SUITE 190, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (503) 481-6816, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5172, LICENSE: OTC5655, NAME: BANNER HEALTH CLINIC, LEGALLY: BANNER HEALTH CLINIC, ADDRESS: 1520 SOUTH DOBSON ROAD, SUITE 203, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 412-8080, FAX: (480) 412-8081, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5170, LICENSE: OTC5657, NAME: AZ TECH RADIOLOGY, LEGALLY: AZ TECH RADIOLOGY, ADDRESS: 21300 NORTH JOHN WAYNE PARKWAY, SUITE 116, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-6411, FAX: (520) 568-6312, CAPACITY: 0, COUNTY: PINAL TYPE: MED-HOSPITAL, SUBTYPE: SPECIAL HOSPITAL, ID: MED2171, LICENSE: SH3106, NAME: PHOENIX CHILDREN'S HOSPITAL NEWBORN INTENSIVE CARE, LEGALLY: PHX CHILDRENS HOSP NEWBORN INTENSIVE CARE UNIT AT GOOD SAMARITAN, ADDRESS: 1111 EAST MCDOWELL, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-1959, FAX: (602) 546-1965, CAPACITY: 64, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5175, LICENSE: , NAME: VERDE VALLEY MEDICAL CLINIC - UROLOGY, LEGALLY: VERDE VALLEY MEDICAL CLINIC - UROLOGY, ADDRESS: 294 WEST STATE ROUTE 89A, SUITE 208, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-7970, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED5185, LICENSE: OTC5659, NAME: TERROS PRIMARY CARE SERVICES-GLENDALE, LEGALLY: TERROS PRIMARY CARE SERVICES-GLENDALE, ADDRESS: 6153 WEST OLIVE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (602) 685-6117, FAX: (602) 685-6001, CAPACITY: 0, COUNTY: MARICOPA